欢迎来到天天文库
浏览记录
ID:22110819
大小:63.00 KB
页数:7页
时间:2018-10-27
《结膜瓣遮盖联合睑裂缝合术予规范化药物干预治疗难治性角膜溃疡的临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、结膜瓣遮盖联合睑裂缝合术予规范化药物干预治疗难治性角膜溃疡的临床分析陈莺(四川省仁寿县人民医院四川仁寿620500)【摘要】R的:分析结膜瓣遮盖联合睑裂缝合术予规范化药物干预治疗难治性角膜溃疡的临床疗效。方法:将我院收治的54例(54只眼)难治性角膜溃疡患者随机分为观察组27和对照组27例。对照组患者行结膜瓣遮盖联合睑裂缝合术予常规药物干预治疗,观察组患者行结膜瓣遮盖联合睑裂缝合术予规范化药物干预治疗。评价2组患者的临床治疗效果,检测手术前后患者的裸眼视力及泪膜功能,并随访统计患者的复发率。结果:观察组患者临床治疗的总有效率为92.59%,对照组为74.07%,2组比较,差异具有统计学
2、意义(P<0.05)。术后1个月、3个月,2组患者的裸眼视力、BUT及STt较术前均提高,但观察组患者的提高幅度均人于对照组(P均<0.05)。1年的随访期间,观察组患者角膜溃疡的复发率为7.41%,对照组为22.22%,2组比较,差异具有统计学意义(P<0.05)。结论.•在结膜瓣遮盖联合睑裂缝合术治疗难治性角膜溃疡的基础上配合规范化药物干预能有效提高手术治疗效果,促进裸眼视力及泪膜功能的提高,并降低复发率。【关键词】难治性角膜溃疡:结膜瓣遮盖:睑裂缝合术:药物干预【中图分类号】R772.21【文献标识码】B【文章编号】1003-5028(2015)7-0152-02Analysis
3、ofconjunctivalflapcoveringjointpalpebralfissuresurgeryandstandardizationofdruginterventioninthetreatmentofrefractorycornealulcer【Abstract】objective:toanalyzeconjunctivalflapcoveringjointpalpebralfissuresurgeryandstandardizationoftheclinicalcurativeeffectofdruginterventionintreatmentofrefractoryc
4、ornealulcer.Methods:ourhospital’s54cases(54eyes)withrefractorycornealulcerpatientsweredividedintoobservationgroup(27)andthecontrolgroup(27cases).Thecontrolgrouppatientsweretreatedbyjointpalpebralfissuresandconjunctivalflapcoveringsurgeryandconventionaldrugintervention,theobservationgroupof
5、patientsweretreatedbyconjunctivalflapcoveringjointpalpebralfissuresurgeryandstandardizationofdrugintervention.2groupsofpatientswiththeclinicaltreatmenteffectwereassessed,beforesurgeryandaftersurgery,patientswiththenakedeyeeyesightandappearfunctionwasdetected;therecurrencerateofthepatientswascoun
6、ted.Results:observationgroupofpatientswithclinicaltreatmentthetotaleffectiveratewas92.59%,controlgroupwas74.07%,thecomparisonoftwogroups,statisticallysignificantdifference(P<0.05).After1month,3months,twogroupofpatientswiththenakedeyeeyesight,BUTandSTtbeforeoperationwereimproved,BUTtheincrease
7、ofobservationgroupofpatientswasgreaterthanthecontrolgroup(P<0.05).1yearfollow-upperiod,theobservationgroupofpatientswithcornealulcerrecurrenceratewas7.41%,controlgroupwas22.22%,thecomparisonoftwogroups,statisticallysignif
此文档下载收益归作者所有