目的:探讨早期新鲜羊膜移植在治疗眼部重度碱烧伤的作用。方法:取健康的新鲜羊膜,对20例重度眼部碱烧伤患者伤后1～2d行坏死结膜清除,将羊膜上皮面向上覆盖在眼球表面,间断缝合,加压包扎2d后开放点眼。结果:除1例因烧伤后没及时处理,手术后角膜仍发生溶解而摘除眼球外,其余病例均成功保住眼球,无严重的睑球粘连,视力恢复到0.02者3眼、0.05者2眼、0.08者6眼、0.1者5眼、0.12者2眼、0.15者2眼、0.3者1眼。结论:早期新鲜羊膜移植治疗严重的眼部碱烧伤是一种简单可行、实用有效的方法。

AIM:To discuss the function of early time fresh amniotic membrane transplantation for severe ocular alkali burns.METHODS:The healthy fresh amnion was taken,1-2 days after injury necrosis of the conjunctiva of 20 cases with severe ocular alkali burns were cleared away,the amniotic epidermis face was put on the eyeball surface,interrupted suture,and eyedrops in eyes after bandaged for 2 days were performed.RESULTS:Except a case without timely treatment after burns,eyeball was removed because of corneal melting after operation,the rest eyeballs were successfully kept,no serious symblepharon,vision restored to 0.02 in three eyes,0.05 in two eyes,0.08 in six eyes,0.1 in five eyes,0.12 in two eyes,0.15 in two eyes and 0.3 in one eye.CONCLUSION:Early amniotic membrane transplantation for severe ocular alkali burns is a simple and feasible,practical and effective method.

R779.6