Boutin T H, Vienne P, Tuppin P, Auvert B
Etablissement Français des Greffes, Paris.
Presse Med. 1996 Dec 7;25(38):1863-7.
Analyze annual corneal graft procurement and transplantation in France.
Data collected from all public and private health centers in France in a survey conducted in August 1994 by the general health directory were analyzed by the French Graft authorities.
Between 1990 and the first semester 1994, an annual mean of 3205 corneal grafts were performed in France. The annual number of grafts fell by 27% between 1991 and 1992 then stabilized at 2700 grafts per year. Eighty percent of the grafts were performed in public institutions. Less than 4% of the patients were foreigners. The number of patients on waiting lists on June 30, 1994 was 7129, i.e. 2.7 times the number of transplantations in 1993. Mean annual cornea procurement between 1991 and the first semester 1994 was 2930. Corneas were removed at the morgue in 78% of the cases or in the operating room in 19% (multiple organ procurement) and 1.5% (cornea alone). Grafted corneas came from public hospitals in 72% of the cases. Fifty-seven percent of the grafts used in private institutions were imported. The mean annual number of imported corneas can be estimated at 280. This number has increased by 127% since 1990 and corresponds to 8% of the grafted corneas.
The number of corneal grafts in France is similar to that in other European countries, but the number of patients on waiting lists is high and French eye banks had a restricted role.
分析法国年度角膜移植的获取与移植情况。
法国移植管理部门对1994年8月由公共卫生总局开展的一项调查中从法国所有公立和私立医疗中心收集的数据进行了分析。
1990年至1994年上半年期间，法国每年平均进行3205例角膜移植手术。1991年至1992年期间，每年的移植手术数量下降了27%，随后稳定在每年2700例。80%的移植手术在公共机构进行。不到4%的患者为外国人。1994年6月30日等待名单上的患者人数为7129人，即1993年移植手术数量的2.7倍。1991年至1994年上半年期间，每年平均获取的角膜数量为2930个。78%的角膜是在太平间获取的，19%是在手术室获取的（多器官获取），1.5%是单独获取角膜。72%的移植角膜来自公立医院。私立机构使用的移植角膜中有57%是进口的。每年进口角膜的平均数量估计为280个。自1990年以来，这个数字增长了127%，占移植角膜的8%。
法国的角膜移植数量与其他欧洲国家相似，但等待名单上的患者人数众多，且法国眼库的作用有限。
