[关键词]
[摘要]
目的：观察运用聚四氟乙烯膜(F4膜)治疗睑球粘连的临床效果。
方法：采用F4膜治疗睑球粘连患者26例28眼，分离粘连后，裁剪适当大小的F4膜置于创面作为间隔物，作F4膜-穹隆-近眶缘眼睑皮肤间褥式缝合，再缝合结膜创缘与F4膜。2～3wk拆除缝线及F4膜。术后随访6～12mo，观察手术效果。
结果：患者28眼术后无感染，其中20眼(71%)术后效果良好，手术成功； 6眼(21%)效果一般，有所改善； 2眼(7%)术后再次粘连，手术失败。
结论：F4膜治疗睑球粘连安全、有效。
[Key word]
[Abstract]
AIM: To observe the clinical effect of treatment for symblepharon by polytetrafluoroethene(PTFE)membrane.
METHODS: The PTFE membrane was used for the treatment of symblepharon of 26 patients 28 eyes. An appropriate size of the PTFE membrane was placed in the wound as a spacer after separating the adhesion. PTFE membrane - fornix - eyelid skin mattress suture was made, and then the conjunctiva and PTFE membrane were sutured. 2-3 weeks later, the PTFE membrane was removed. The patients were followed up for 6-12 months to evaluate the effect of operation.
RESULTS: There were no postoperative infections in 28 eyes. We got 20 eyes(71%)in good result, 6 eyes(21%)improved, and 2 eyes(7%)remained unchanged.
CONCLUSION: It is a safe and effective way to treat symblepharon by PTFE membrane.
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