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題 名 | Amniotic Membrane Transplantation for Pseudomonal Keratitis with Impending Perforation=以羊膜移植於瀕臨破裂的綠膿桿菌角膜炎 |
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作 者 | 陳宏吉; 馬惠康; 蔡瑞芳; | 書刊名 | 長庚醫學 |
卷 期 | 25:3 2002.03[民91.03] |
頁 次 | 頁144-152 |
分類號 | 416.711 |
關鍵詞 | 羊膜; 綠膿桿菌; 角膜炎; 瀕臨破裂; Amniotic membrane transplantation; Pseudomonas aeruginosa; Keratitis; Impending perforation; |
語 文 | 英文(English) |
中文摘要 | 背景: 探討羊膜移植術對於綠膿桿菌造成的角膜炎,是否可作為促進傷口癒合,以及避免破裂的替代療法。 方法: 從1995年9月到1997年11月,計有6位病人,均因綠膿桿菌角膜炎住院,合併有顯著的基質溶解及喪失。在經過一週以上強化抗生素眼藥水治療後,仍有角膜破裂之虞,故予以羊膜移植在傷口上。平均追蹤時間為12.8±2.5個月。 結果: 羊膜移植時有5位病人傷口已無菌,而得以快速上皮化且降低發炎,其平均上皮化時間為9.4±2.1天。其餘一位病人羊膜溶解,且有廣泛之角膜感染及持續上皮缺損,以致最後因頑固性青光眼而接受眼球內容剜除術。以羊膜移植術來治療角膜潰瘍,傷口不再擴大,基質喪失較少,而得以保存較多之角膜基質厚度。 結論: 對於綠膿桿菌角膜炎而瀕臨破裂者,在傳統強化抗生素治療外,尚可考慮羊膜移植術,特別是在有廣泛之基質溶解及喪失,而感染也受到控制之時。 |
英文摘要 | Background:To determine whether amniotic membrane transplantation (AMT) can be used as adjunctive therapy to promote wound healing and prevent perforation in bacterial keratitis caused by pseudomonas aeruginosa. Methods: We report on 6 eyes from 6 patients with bacterial keratitis caused by pseudomonas aeruginosa associated with prominent stromal melting and extensive stromal loss. AMT was performed after treatment with fortified antibiotics for at least 1 week. The mean follow-up period was 12.8±2.5 months. Results: The lesion became sterile in all but 1 case for which AMT was performed. Rapid reepithelialization and decreased inflammation was observed in 5 cases, with complete reepithelialization occurred at 9.4±2.1 days postoperatively. The amniotic membrane dissolved in the remaining case with active, extensive corneal infection and persistent epithelial defect; this case finally received evisceration due to intractable glaucoma. In all other cases, after AMT treatment, lesions did not extend, stromal loss was limited, and considerable stromal thickness was preserved. Conclusion: AMT may be considered an alternative method for treating pseudomonal keratitis, especially when stromal melting and loss are extensive, and the infection has been controlled. |
本系統中英文摘要資訊取自各篇刊載內容。