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目的 观察和评价羊膜在眼睑缺损成形术中的应用价值。方法 采用保存人羊膜移植用于各种原因引起的眼睑缺损部位代替自体球结膜移植 ,成形再造眼睑共 2 6例 2 6只眼。结果 2 6只眼无 1例感染 ,1 0天后移植的羊膜变透明 ,缝合处结膜向羊膜上爬行 ,1个月后新生的结膜上皮完全覆盖移植区。结论 保存的人羊膜无抗原性 ,移植后能作为结膜上皮移行生长的载体 ,替代球结膜用于眼睑成形术的效果满意。
Objective To observe and evaluate the value of amniotic membrane in eyelid defect. Methods The amniotic membrane transplantation was used to replace 26 cases (26 eyes) of the eyelid to reconstruct the eyelid due to eyelid defect caused by various reasons. Results There was no infection in 26 eyes. The transplanted amniotic membrane became transparent after 10 days. The conjunctiva was sutured to the amniotic membrane. The newborn conjunctiva completely covered the graft area after 1 month. Conclusion The preserved human amniotic membrane has no antigenicity and can be used as a carrier for conjunctival epithelial migration after transplantation. The effect of replacing conjunctiva for eyelidoplasty is satisfactory.