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目的探讨口腔黏膜移植术在治疗重度结膜囊狭窄中的临床应用效果及安全性。方法采用口腔黏膜移植治疗36例36眼结膜囊狭窄患者,术后随访观察6~18个月,平均11个月。结果36例安装义眼后双侧睑裂宽、高基本对称。3例结膜囊再次收缩,其中2例再次行游离厚皮片结膜囊成形,1例改换眼模重新植入结膜囊囊内。结论对于中、重度结膜囊狭窄患者,采用口腔黏膜替代缺损结膜是一种较好的术式。
Objective To investigate the clinical effect and safety of oral mucosal transplantation in the treatment of severe conjunctival stenosis. Methods 36 patients with 36 eyes of conjunctival stenosis were treated with oral mucosal transplantation. The patients were followed up for 6 to 18 months with an average of 11 months. Results 36 cases of bilateral eyelid fissure after installation, the basic symmetry. Three cases of conjunctival sac contracted again, of which two cases again free thick skin conjunctival sac shape, 1 case of re-implantation of the eye mold to re-implant conjunctival sac. Conclusion For patients with moderate and severe conjunctival stenosis, the use of oral mucosa instead of defect conjunctiva is a good surgical procedure.