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本文报告112眼蚕蚀性角膜溃疡,用结膜巩膜切除治疗38眼,板层角巩膜移植治疗74眼,治愈率前者为68.4%,后者97.3%。一次手术后,追踪6个月,结膜巩膜切除组复发率31.8%。板层角巩膜移植组复发率为13.5%。远期追踪,两组的复发率均较低。复发与年龄及单、双眼发病无明显关系,作者认为术后复发主要与病变组织及包含在其中的某些致病因素清除不够彻底有关。术后视力的恢复以板层角巩膜移植治疗组较满意。作者建议根据巩膜受累的轻重把此病分为轻症型与重证型,重症型有较高的复发倾向,但通过再次手术绝大多数可以获得治愈。文内还介绍了两种疗法的适应症。
This article reports 112 cases of Mooren ulcer, with conjunctival sclerectomy for 38 eyes, laminoplasty and scleral transplantation for 74 eyes, the cure rate was 68.4% for the former, the latter 97.3%. After an operation, follow-up 6 months, the conjunctival resection group recurrence rate of 31.8%. The lamellar angle scleral graft group recurrence rate was 13.5%. Long-term follow-up, the recurrence rate was lower in both groups. Recurrence and age and single, no significant relationship between the incidence of both eyes, the authors believe that postoperative recurrence and lesion mainly involved in the removal of some of the risk factors are not completely related. Postoperative visual acuity was restored to laminoplasty and scleral transplantation in the treatment group was satisfied. The authors suggest that the disease is classified as mild type and severe type according to the severity of sclera involvement. Severe type has a high tendency to relapse, but the vast majority can be cured by reoperation. The article also describes the indications of the two therapies.