解放军医学院学报2017，Vol.38Issue(3)：193-196,4.DOI:10.3969/j.issn.2095-5227.2017.03.001
解放军总医院近10年角膜移植手术适应证和术式变化
Trends in indications and surgical techniques for corneal transplantation in Chinese PLA General Hospital during the last ten years
摘要
Abstract
Objective To report the evolving of the indications for keratoplasty and the shift of the type of keratoplasty performed in Chinese PLA General Hospital from 2004 to 2015. Methods A retrospective data review was carried out to all the records of keratoplasty in Chinese PLA General Hospital from January 2004 to December 2015, and patient's demographics, indications and types of transplantation performed were analyzed. Results Totally 721 keratoplasties were performed on 631 patients. Four hundred and thirty patients (68.15%) were male (489 eyes), and 201 cases(31.85%) were female(232 eyes). Keratoleukoma (135 cases, 18.72%), regraft (122 cases,16.92%), purulent keratitis (90 cases, 12.48%) and keratoconus (89 cases, 12.34%) were the leading indications for keratoplasty, and transplantations for purulent keratitis, regraft and keratoconus increased year by year. In 2004, keratoplasties were performed in 3 cases of purulent keratitis, 9 cases of regraft and 3 cases of keratoconus, and the frequencies reached to 16, 15 and 20 respectively in 2015. Of all keratoplasties performed, 414 (57.42%) were penetrating keratoplasty (PKP), 161(22.33%) were deep lamellar keratoplasty (DLKP), 134(18.59%) were lamellar keratoplasty(LKP), and 12(1.66%) were endothelia keratoplasty (EKP). DLKP (2010, n=6; 2015, n=20) and LKP (2010, n=8; 2015, n=18) increased in recent 5 years, while PKP had been decreasing since2012(2012, n=60; 2015, n=34). Conclusion The keratoleukoma, regraft, purulent keratitis and keratoconus were the top 4 indications for keratoplasty. DLKP demonstrated an increasing trend while PKP showed a decrease. EKP has been applied in clinical practice.关键词
角膜移植/适应证/手术方式Key words
corneal transplantation/keratoplasty/indication/surgical method分类
医药卫生引用本文复制引用
张珊,胡健,项然,秦丽敏,黄一飞,王丽强..解放军总医院近10年角膜移植手术适应证和术式变化[J].解放军医学院学报,2017,38(3):193-196,4.基金项目
国家自然科学基金项目(31271059 （）
81670830) Supported by the National Natural Science Foundation of China(31271059 （）
81670830) （）
