【摘要】：目的利用眼前節(jié)光學(xué)相干斷層掃描(anterior segment optical coherence tomography,AS-OCT)技術(shù)分析角膜裂傷縫合術(shù)后早期角膜傷口形態(tài)學(xué)的特點(diǎn)。方法選取196例(196眼)角膜裂傷患者,于角膜裂傷縫合術(shù)后第1天,運(yùn)用AS-OCT分析角膜傷口對(duì)合情況,測(cè)量角膜厚度,同時(shí)觀察患者對(duì)側(cè)眼相應(yīng)部位角膜厚度情況,以作對(duì)比。結(jié)果術(shù)后所有患者裂隙燈下檢查角膜傷口均閉合良好,無(wú)滲漏。根據(jù)AS-OCT的表現(xiàn),患者角膜傷口形態(tài)分為4型,其中27眼(13.78%)為Ⅰ型對(duì)合良好;123眼(62.76%)為Ⅱ型錯(cuò)位對(duì)合;41眼(20.92%)為Ⅲ型內(nèi)口哆開(kāi);5眼(2.55%)為Ⅳ型虹膜前粘連。4種類型中,患眼傷口處最大角膜厚度平均值均明顯大于對(duì)側(cè)眼相應(yīng)部位角膜厚度平均值,差異均具有統(tǒng)計(jì)學(xué)意義(均為P0.05);4種類型中患眼與對(duì)側(cè)眼角膜厚度差值的組間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.383)。結(jié)論角膜裂傷縫合術(shù)后早期角膜傷口形態(tài)差異大,ASOCT可精確觀察、定量分析角膜傷口形態(tài)。
[Abstract]:Objective to analyze the morphological characteristics of corneal wounds in the early stage after corneal laceration suture by anterior segment optical coherence tomography (anterior segment optical coherence tomography,AS-OCT). Methods 196 patients (196 eyes) with corneal laceration were selected. On the first day after corneal laceration suture, the corneal wound alignment was analyzed by AS-OCT, the corneal thickness was measured, and the corneal thickness of the contralateral eye was observed to make a comparison. Results all the corneal wounds were closed and no leakage was found under slit lamp. According to the findings of AS-OCT, the corneal wound morphology of the patients was divided into 4 types, including 27 eyes (13.78%) with good type I alignment, 123 eyes (62.76%) with type 鈪，

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