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自体结膜移植重建眼周黏膜

Reconstruction of the periocular mucous membrane by autologous conjunctival transplantation.

作者信息

Vastine D W, Stewart W B, Schwab I R

出版信息

Ophthalmology. 1982 Sep;89(9):1072-81. doi: 10.1016/s0161-6420(82)34681-3.

DOI:10.1016/s0161-6420(82)34681-3
PMID:7177571
Abstract

We have extended the concept of autologous conjunctival transplantation for corneal resurfacing as recommended by Thoft to reconstruction in 14 patients with unilateral abnormalities of the bulbar and palpebral conjunctiva caused by alkali burns (2), irradiation (2), neoplasms (3), degenerative diseases (5), trauma (1), and developmental anomalies (1). Large, free conjunctival grafts from bulbar and forniceal donor sites were used. No complications have been noted at the recipient or donor sites. Grafts of normal conjunctiva provided intact basement membrane, goblet cells, and epithelium that help restore normal ocular and lid surfaces. The use of free conjunctival grafts provides significant advantage over the use of buccal mucous membrane grafts. The techniques and results of our experience with free conjunctival grafts in 14 patients are discussed.

摘要

我们已将索夫特所推荐的用于角膜表面重建的自体结膜移植概念扩展至14例因碱烧伤(2例)、辐射(2例)、肿瘤(3例)、退行性疾病(5例)、创伤(1例)和发育异常(1例)导致单侧球结膜和睑结膜异常患者的重建手术。使用了来自球结膜和穹窿部供体部位的大型游离结膜移植片。在受体或供体部位均未发现并发症。正常结膜移植片提供了完整的基底膜、杯状细胞和上皮,有助于恢复正常的眼表和睑表。与使用颊黏膜移植片相比,使用游离结膜移植片具有显著优势。本文讨论了我们在14例患者中使用游离结膜移植片的技术和结果。

相似文献

1
Reconstruction of the periocular mucous membrane by autologous conjunctival transplantation.自体结膜移植重建眼周黏膜
Ophthalmology. 1982 Sep;89(9):1072-81. doi: 10.1016/s0161-6420(82)34681-3.
2
[Amniotic membrane in conjunctivoplasty].[结膜成形术中的羊膜]
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3
Reconstruction of the ocular surface by transplantation of a serum-free derived cultivated conjunctival epithelial equivalent.通过移植无血清培养的结膜上皮替代物重建眼表。
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Conjunctival autograft transplantation for unilateral ocular surface diseases.结膜自体移植治疗单侧眼表疾病
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Ultrastructural study of autologous cultivated conjunctival epithelium.自体培养结膜上皮的超微结构研究
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Comparative study of pterygium surgery.翼状胬肉手术的比较研究
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Split thickness buccal mucous membrane grafts and beta irradiation in the treatment of recurrent pterygium.分层厚度颊黏膜移植联合β射线照射治疗复发性翼状胬肉
Br J Ophthalmol. 1998 Dec;82(12):1420-3. doi: 10.1136/bjo.82.12.1420.
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Long-term outcome of cultivated oral mucosal epithelial transplantation for fornix reconstruction in chronic cicatrising diseases.
培养的口腔黏膜上皮移植治疗慢性瘢痕性疾病的穹窿重建的长期疗效。
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Fibrin glue versus sutures for conjunctival autografting in primary pterygium surgery.原发性翼状胬肉手术中,纤维蛋白胶与缝线用于结膜自体移植的比较。
Cochrane Database Syst Rev. 2016 Dec 2;12(12):CD011308. doi: 10.1002/14651858.CD011308.pub2.
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Removal of Tenon fortified by conjunctival-limbal autograft in treatment of pterygium.自体结膜角膜缘移植加固的眼球筋膜囊切除术治疗翼状胬肉
Int Ophthalmol. 2017 Aug;37(4):813-818. doi: 10.1007/s10792-016-0341-1. Epub 2016 Sep 9.
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Coculture of autologous limbal and conjunctival epithelial cells to treat severe ocular surface disorders: long-term survival analysis.自体角膜缘和结膜上皮细胞共培养治疗严重眼表疾病:长期生存分析。
Indian J Ophthalmol. 2013 May;61(5):202-7. doi: 10.4103/0301-4738.99840.
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[Late complications after chemical burns of the ocular surface. Surgical strategies for ocular surface reconstruction].[眼表化学伤的晚期并发症。眼表重建的手术策略]
Ophthalmologe. 2011 Oct;108(10):929-38. doi: 10.1007/s00347-010-2251-3.
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Treatment of primary pterygium: Role of limbal stem cells and conjunctival autograft transplantation.原发性翼状胬肉的治疗:角膜缘干细胞和结膜自体移植的作用
Oman J Ophthalmol. 2009 Jan;2(1):23-6. doi: 10.4103/0974-620X.48418.
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Graft failure: II. Ocular surface complications.移植物失败:II. 眼表并发症。
Int Ophthalmol. 2008 Jun;28(3):175-89. doi: 10.1007/s10792-007-9127-9.
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Amniotic membrane transplantation for ocular disease: a review of the first 233 cases from the UK user group.羊膜移植治疗眼部疾病:英国用户组前233例病例回顾
Br J Ophthalmol. 2007 Aug;91(8):1042-7. doi: 10.1136/bjo.2006.098525. Epub 2007 Feb 21.