頁籤選單縮合
題 名 | 改良式圈狀殼在結膜黏著手術之應用 |
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作 者 | 馬俐; 賴旗俊; 高錦弘; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 34:4 1995.12[民84.12] |
頁 次 | 頁68-73 |
分類號 | 416.741 |
關鍵詞 | 改良式圈狀殼; 結膜黏著手術; Symblepharon; Modified doughnut shell; |
語 文 | 中文(Chinese) |
中文摘要 | 本文報告十例使用改良式圈狀殼於結膜黏看手術的方法及術後追蹤情 形。改良式圈狀殼的製作方法是將平常使用的甜甜圈狀殼由中間磨去,只保留外 緣約2mm的寬度。其開刀過程如下:(一)將結膜黏看,自眼瞼邊緣開始剝除,保留 輪部(limbus)之結膜。(二)取口腔黏膜,厚度約0.1~0.08mm。(三)將取下的口腔黏 膜平鋪於結膜缺損處,並縫合於眼瞼緣。(四)置入改良式圈狀殼,使口腔黏膜平 鋪在眼球及眼瞼結膜缺損處。(五)去除多餘的口腔黏膜,並將口腔黏膜縫合在結 膜缺損上。(六)以6-0 vicryl縫線將眼球及眼瞼部分的口腔黏膜再固定。(七)取出改 良式圈狀殼,置入一般的甜甜國狀殼。 這種方法有以下的優點:一、改良式圈狀殼使手術時可縫合的面積增大,易於操 作。二、能使取下的口腔黏膜,平整地縫合在結膜缺損上,增加血液供應,減少 攣縮,增加手術的成功率。三、病人恢復快不用固定半年。 |
英文摘要 | Buccal mucosal grafting for patients withsymblepharon frequently failed due to poor fixationof grafts intraoperatively and post-operatively. Weperformed buccal mucosal grafting on 10 eyes of 10patients with modified doughnut shell in sym-blepharon operation. Modified doughnut shell wasmade from ring conformer and was used in-traoperatively to help the operative procedure. Itwould provide a larger operative field and better graft fixation. The underlying diseases of these eyes ofsymblepharon were: thermal burn: 4 cases, chemicalburn: 3 cases, trauma: 2 case, post-operation: 1 case.After 3-18 months (mean: 10 months) follow-up,grafts of 10 cases took well and had deep fomix atfirst but 1 case failed later. In conclusion, the use ofmodified doughnut shell provides significantadvantage on symblepharon operation. |
本系統中英文摘要資訊取自各篇刊載內容。