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铆钉形角膜移植应用于高危患者的疗效观察
引用本文:姚晓明,邓宏伟,姚炜彪,赵东晓,樊宁,秦磊,罗恒,黎明,唐松,袁凤波.铆钉形角膜移植应用于高危患者的疗效观察[J].中国实用眼科杂志,2004,22(8):598-601.
作者姓名:姚晓明  邓宏伟  姚炜彪  赵东晓  樊宁  秦磊  罗恒  黎明  唐松  袁凤波
作者单位:518001,深圳,暨南大学医学院附属深圳眼科中心,深圳市眼科医院
基金项目:深圳市科技局医学科研基金资助 (基金编号2 0 0 2 0 4 2 2 2及 2 0 0 0 0 60 2 4 )
摘    要:目的 研究铆钉形角膜移植(rivet-shaped keratoplasty,RSK)对高危移植患者的治疗效果。方法 对26例(26只眼)高危移植患者随机分为两组,分别施行RSK和穿透性角膜移植联合环状板层角膜缘移植(penetrating keratoplasty combined with ring-shaped limbal transplantation,PKRL)。观察两组术后植片、植床的变化和角膜移植排斥反应发生率。结果 与PKRL相比,RSK可促进植片上皮愈合,减少术后散光,降低角膜移植排斥反应发生率。结论 RSK是一种有效的眼前段重建手术方法。

关 键 词:铆钉形角膜移植  疗效观察  排斥反应  植片
修稿时间:2004年3月1日

Rivet-shaped keratoplasty for high-risk patients
YAO Xiao ming,DENG Hong wei,YAO Wei biao,et al..Rivet-shaped keratoplasty for high-risk patients[J].Chinese Journal of Practical Ophthalmology,2004,22(8):598-601.
Authors:YAO Xiao ming  DENG Hong wei  YAO Wei biao  
Affiliation:YAO Xiao ming,DENG Hong wei,YAO Wei biao,et al. Shenzhen Eye Hospital,Shenzhen Ophthalmic Center,Jinan University Medical School,Shenzhen 518001,China
Abstract:Objective To evaluate the effects of penetrating keratoplasty combined with limbal transplantation with rivet-shaped keratoplasty(RSK).Methods The patients with similar corneal diseases were chosen and divided into two groups,one operated with RSK,and another with penetrating keratoplasty combined with ring-shaped limbal transplantation(PKRL).The corneal epithelium growth,visual acuity,corneal curvature,astigmatism and graft rejection rate were compared.Results As compared with PKRL,RSK can promote the healing of epithelium,decrease the damage to endothelium,reduce the astigmatism,and diminish the corneal graft rejection.Conclusions RSK is a new and effective way to reconstruct the anterior segment.
Keywords:Keratoplasty  Rivet-shaped  High risk
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