聚四氟乙烯膜治疗睑球粘连的疗效
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Clinical observation on the treatment of symblepharon by PTFE membrane
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    摘要:

    目的:观察运用聚四氟乙烯膜(F4膜)治疗睑球粘连的临床效果。

    方法:采用F4膜治疗睑球粘连患者26例28眼,分离粘连后,裁剪适当大小的F4膜置于创面作为间隔物,作F4膜-穹隆-近眶缘眼睑皮肤间褥式缝合,再缝合结膜创缘与F4膜。2~3wk拆除缝线及F4膜。术后随访6~12mo,观察手术效果。

    结果:患者28眼术后无感染,其中20眼(71%)术后效果良好,手术成功; 6眼(21%)效果一般,有所改善; 2眼(7%)术后再次粘连,手术失败。

    结论:F4膜治疗睑球粘连安全、有效。

    Abstract:

    AIM: To observe the clinical effect of treatment for symblepharon by polytetrafluoroethene(PTFE)membrane.

    METHODS: The PTFE membrane was used for the treatment of symblepharon of 26 patients 28 eyes. An appropriate size of the PTFE membrane was placed in the wound as a spacer after separating the adhesion. PTFE membrane - fornix - eyelid skin mattress suture was made, and then the conjunctiva and PTFE membrane were sutured. 2-3 weeks later, the PTFE membrane was removed. The patients were followed up for 6-12 months to evaluate the effect of operation.

    RESULTS: There were no postoperative infections in 28 eyes. We got 20 eyes(71%)in good result, 6 eyes(21%)improved, and 2 eyes(7%)remained unchanged.

    CONCLUSION: It is a safe and effective way to treat symblepharon by PTFE membrane.

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周海孝,刘晓姣,杨安怀.聚四氟乙烯膜治疗睑球粘连的疗效.国际眼科杂志, 2013,13(5):1034-1035.

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  • 收稿日期:2012-12-24
  • 最后修改日期:2013-03-24
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  • 在线发布日期: 2013-05-06
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