论文部分内容阅读
目的探讨眼球前段重建术（ａｎｔｅｒｉｏｒｓｅｇｍｅｎｔｒｅｃｏｎｓｔｒｕｃｔｉｏｎ，ＡＳＲ）的术式和技巧并对其远期疗效进行评价。方法Ａ术式和Ｂ术式是以全角膜带环形巩膜板层瓣或亚全穿透角膜移植为主的多联手术（包括虹膜切除、晶体摘除、前段玻璃体切割及恢复眼球体积等），术后随访３ａ以上。结果眼球保全率为８５．２９％，植片透明或半透明率为３５．２９％，脱盲率为３０．８８％。移植片混浊的病例中，９例再次移植，６例植片透明或半透明。结论远期疗效结果表明ＡＳＲ对于挽救眼前段严重受毁的眼球及视功能具有很高治疗价值。不同病情和时机，可选择不同的术式进行治疗。
Objective To investigate the surgical procedures and techniques of anteriorsegment reconstruction (ASR) and to evaluate its long-term efficacy. Methods A and B are all multi-joint operations (including iridectomy, crystal removal, anterior vitrectomy, and recovery of the eyeball volume, etc.) with corneal annular scleral lamina flaps or subtotal penetrating keratoplasty After follow-up of 3a or more. Results Eyeball preservation rate was 85.29%, transparence or translucent rate was 35.29%, and blinding rate was 30.88%. Among the cases of transplanted opacity, 9 were transplanted again and 6 were translucent or translucent. Conclusion The long-term results show that ASR has great therapeutic value for saving the severely damaged eye and visual function in the anterior segment. Different conditions and timing, can choose different surgical treatment.