頁籤選單縮合
| 題 名 | 應用自體骨膜移植治療感染性及非感染性壞死性鞏膜炎 |
|---|---|
| 作 者 | 李瑞鋒; 林淑妍; | 書刊名 | 中華民國眼科醫學會雜誌 |
| 卷 期 | 34:2 1995.06[民84.06] |
| 頁 次 | 頁112-118 |
| 分類號 | 416.741 |
| 關鍵詞 | 自體骨膜移植治療; 壞死性鞏膜炎; Periosteum graft; Scleritis; Pterygium; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 我們成功的應用自體骨膜移植治療四例翼狀贅肉術後產生的鞏膜壞死 症。臨床表現以穿孔性鞏膜軟化症,鞏膜缺損合併葡萄膜暴露及鞏角膜炎為主, 其中二例並證實為綠膿桿菌感染。四例皆因藥物治療無效而施以骨膜移植。術後 平均追蹤24個月,移植區癒合良好,無合併症及復發性感染產生。我們認為自體 骨膜移植擁有許多優點例如:容易獲得,強韌,組織相容性好,有豐富血管,癒 合迅速,不產生免疫或異物反應,且對感染性鞏膜炎也有相當好的治療效果。 |
| 英文摘要 | Infectious and non-infectious necrotizingscleritis are not common but devastating com-plications after pterygium excision. We successfullyused autogenous periosteum to reinforce theweakened sclera in four patients with necrotizingscleritis after pterygium surgery. None of them wasassociated with underlying systemic disease.Progressive scleral thinning with anterior staphylomaformation or uveal exposure were found in two cases.Pseudomonas aeruginosa was identified in the other two cases. All grafts have remained intact during anaverage follow-up interval of 24 months without anycomplication or recurrent infection occurred. Autogenous periosteum graft offers distinctadvantages over other tissues as a tectonic graft sinceit is easy to harvest, and is strong, highly vascular,and free of immunoiogical rejection. We believe itis a good substitute for repairing infectious or non-infectious necrotizing scleritis. |
本系統中英文摘要資訊取自各篇刊載內容。