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目的探讨带角膜缘板层角膜移植治疗[表角膜烧伤及疗效。方法采用带角膜缘板层角膜移植治疗化学伤、热灼伤56例58[,其中[睑皮肤缺损32例32[、睑球粘连36例38[;术前角膜印迹细胞学检查,角膜表面有杯状细胞56例58[。结果术后视力提高46[,角膜上皮保持完整48[,因[睑缺损而影响角膜上皮愈合,行睑裂闭合手术10[,术后排斥21[,用Cs-A或FK-506、皮质激素控制,对术后发生青光[中的6[进行手术,术后板层角膜表面行印迹细胞检查出现杯状细胞19[。结论带角膜缘板层角膜移植,可用于严重[表烧伤的角膜结膜化病人。酸性化学伤、[附属器完好、[表植床条件好的,手术后角膜上皮覆盖完好,角膜再度结膜化程度低。
Objective To investigate the treatment of corneal limbal lamellar keratoplasty and its effect. Methods Fifty-six patients with chemical and thermal burns were treated with corneal limbal lamellar keratoplasty (58 cases), including 32 cases of eyelid skin defect (32 cases), 36 cases of symblepharon (38 cases), preoperative corneal blot cytology examination, corneal surface cup 56 cases of 58-like cells. Results Postoperative visual acuity increased 46%, corneal epithelium remained intact 48%, due to [eyelid defects affecting corneal epithelial healing, palpebral palpebral fold closure surgery 10 [, postoperative exclusion 21 [, with Cs-A or FK-506, corticosteroids Control, postoperative glaucoma [in 6 [surgery, postoperative lamellar corneal surface line of imprinted cells appear goblet cells [19]. Conclusion corneal limbal lamellar keratoplasty, can be used for severe burn patients with corneal conjunctival. Acidic chemical injury, [appendage intact, [Table bed conditions are good, corneal epithelial well-covered after surgery, corneal re-conjunctival low degree.