异体巩膜移植在眼睑再造中的应用.pdfVIP

中国组织工程研究与临床康复 第J2誊第 期 2008—01—29出版 经验交流 Journal ofClinical Rehabilitative Tissue Engineering Research January 29,2008 VoL12，No．5 异体巩膜移植在眼睑再造中的应用 考华婷，雷宁玉，柴建生(滨州医学院附属医院眼科，山东省滨州市 256603) Application of scleral aHograft transplantation in eyelid 治的异体巩膜移植治疗上眼睑恶性肿瘤切除后眼睑全缺损患 reconstruction 者22例 (22眼)，男10例，女12例；年龄35～78岁，平均59岁； Kao Hua—ting，Lei Ning-yu，Chai Jian-sheng(Department of 右眼8例，左眼14例。 Ophthalmology，Affiliated Hospital，Binzhou Medical College， Binzhou 256603，Shandong Province，China) 临床及病理诊断：睑板腺癌6例，眼睑基底细胞癌12例， 眼睑鳞状细胞癌460。经全身系统检查均未见肿瘤向它处播散 Abstract From August 1996 tO OctOber 2004，totally 22 patients(22 eyes)of entire 或转移。 blepharocoloboma after malignant palpebrae superior tOmorectOmy， 患者对治疗方案均知情同意。且得到医院伦理道德委员会 admitted tO Department of Ophthalmology in the Affiliated Hospital of Binzhou Medical College，were repaired with SClera transplantation for the 批准。 eyelid reconstruction．1’he alcohol—prese~ed scleral allograft was utilized 设计、实施、评估者：设计、实施、评估均为本文作者， for a substitute of tarsal plate．1’he intemal surface of SCleral graft was covered with remaining fomical coniunctiva and the external surface with 均经过正规培训。未采用盲法评估。 musculus orbicularis oculi and skin．Bilateral SUtureS were fixed on the stump of tarsal plate or exterior and interior extemal palpebral ligament． 方法： T11en eyelid margin was sutured and cut off after 6 months．A11 patient 异体巩膜的来源：选自绝对期青光眼、严重的眼外伤等摘 were followed up after operation for average 28．8 months．NO reject reaction was found，catacleisis was fine and extemal appearance was 除的眼球，剪除其角膜及视神经、剜出眼内容物，刮除色素组 satisfying．1’he eyelid reconstruction with scleral allograft iS effective tO