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目的 观察穿透性角膜移植联合扇形角膜缘移植术的临床疗效。方法 将 61例 (61眼 )患者分为两组 ,一组 3 0例 (3 0眼 )进行部分穿透性角膜移植 (PKP)术 ,另一组 3 1例 (3 1眼 )进行穿透性角膜移植联合扇形角膜缘移植 (PKP +LKP)术 ,比较其临床疗效。结果 PKP组中有 12例的植片发生了免疫排斥反应 ,其中 2例 (2眼 )因植片血管化而导致植片浑浊。PKP+FLT组穿透植片 4例发生排斥反应。两组进行 χ2 检验 ,P <0 0 5。结论 对于合并有局部新生血管的角膜白斑患者 ,PKP+FLT术较传统的PKP术有更好的临床效果。
Objective To observe the clinical effect of penetrating keratoplasty and scalloped limbal transplantation. Methods Sixty-one patients (61 eyes) were divided into two groups. One group of 30 patients (30 eyes) received partial penetrating keratoplasty (PKP) and the other 31 patients (31 eyes) penetrated Combined with corneal limbal keratoplasty (PKP + LKP), we compared the clinical effects. Results Immunosuppression occurred in 12 of the PKP patients and 2 of them (2 eyes) had opacification due to vascularization of the graft. In PKP + FLT group, 4 cases of rejection occurred. Chi-square test was performed in both groups, P <0 05. Conclusions PKP + FLT has a better clinical effect than traditional PKP in patients with corneal leukoplakia with local neovascularization.