| 摘要: |
| ［摘要］ 目的 探讨临时结膜瓣治疗真菌性角膜溃疡的临床效果。方法 采用临时结膜瓣植入的方法治疗真菌性角膜溃疡51例（51眼）, 术后随访6个月。结果 本组51例，49例治愈，2例治疗失败, 治愈率为96.08%。平均治愈时间（14.10±4.81）d。角膜新生血管形成2例（4.08%）。术后裸眼视力≥0.3者19例（37.25%），0.02～0.1者21例，2例治疗失败，视力永久丧失, 其余视力有不同程度提高。结论 临时结膜瓣能促进真菌性角膜溃疡愈合，并且角膜新生血管形成少，但对晚期病例疗效不理想。 |
| 关键词: 临时结膜瓣 真菌性角膜溃疡 临床效果 |
| DOI：10.3969/j.issn.1674-3806.2009.08.06 |
| 分类号:R 772.21 |
| 基金项目:广西壮族自治区卫生厅计划课题（编号：Z2006286） |
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| Clinical study of temporary conjunctival flap in the treatment of fungal corneal ulcer |
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YU Ye-ming, LI Yan-chun, MO Yi-juan, et al.
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Department of Ophthalmology, Qinzhou 2nd People′s Hospital, Qinzhou Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the clinical efficacy of temporary conjunctival flap treating fungal corneal ulcer.Methods Fifty-one cases(51 eyes) with fungal corneal ulcer were treated with temporary conjunctival flap implantation, the follow up time was 6 months after operation. Results Of 51 cases in this group, 49 cases were cured and treatment failure occurred in 2 cases, the cure rate was 96.08%.The average healing time was （14.10 ± 4.81）days.Corneal neovascularization occurred in 2 cases (4.08%). The postoperative uncorrected visual acuity was ≥0.3 in 19 cases (37.25%), 0.02～ 0.1 in 21 cases, the permanent loss of vision in 2 cases of treatment failure, the visual acuity impoved to various extent in the rest. Conclusion Temporary conjunctival flap could promote fungal corneal ulcer healing, and corneal neovascularization was less，but in serious cases，the efficacy is not ideal. |
| Key words: Temporary conjunctival flap Fungal corneal ulcer Clinical efficacy |
