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中山地区角膜移植适应证及术式变化趋势

钟学源 李乃洋 李凡

广东医学2024,Vol.45Issue(8):1065-1070,6.
广东医学2024,Vol.45Issue(8):1065-1070,6.DOI:10.13820/j.cnki.gdyx.20234089

中山地区角膜移植适应证及术式变化趋势

Indications and surgical procedures for corneal transplantation in Zhongshan Region

钟学源 1李乃洋 1李凡2

作者信息

  • 1. 广东医科大学(广东湛江 524000)
  • 2. 中山市人民医院眼科中心(广东中山 528403)
  • 折叠

摘要

Abstract

Objective To retrospectively analyze the trends in indications and surgical procedures for corneal transplantation in the Zhongshan region.Methods Data from corneal transplantation surgeries performed at Zhongshan People's Hospital from January 2008 to December 2022 were collected and analyzed to evaluate the current status and trends in indications and surgical techniques.Results A total of 200 eyes were included in this study,with corneal leu-koplakia accounting for 51 cases(25.5%),infectious keratitis 45 cases(22.5%),trauma 28 cases(14.0%),various types of corneal dystrophy and malnutrition 17 cases(8.5%),corneal tumors 17 cases(8.5%),keratoconus 15 cases(7.5%),bullous keratopathy 13 cases(6.5%),re-transplantation 12 cases(6.0%),and other corneal diseases(e.g.,glaucoma,iridocorneal endothelial syndrome,filamentary keratitis)2 cases(1.0%).Among the 45 cases of in-fectious keratitis,bacterial keratitis accounted for 31 cases(68.99%),fungal keratitis 10 cases(22.22%),and herpes simplex virus keratitis 4 cases(8.89%).Penetrating keratoplasty was performed in 122 cases(61%),lamellar kerato-plasty in 66 cases(33%),endothelial keratoplasty in 10 cases(5%),and limbal stem cell transplantation in 2 cases(1%).Conclusion The top three indications for corneal transplantation in the Zhongshan region were corneal leukopla-kia,infectious keratitis,and trauma.Penetrating keratoplasty remains the preferred surgical procedure for corneal trans-plantation,while the number of lamellar keratoplasty procedures has been increasing annually,significantly improving the utilization rate of donor corneas.

关键词

角膜移植/手术适应证/手术方式/变化趋势

Key words

Corneal transplantation/Surgical indications/Surgical procedure/Trend

分类

医药卫生

引用本文复制引用

钟学源,李乃洋,李凡..中山地区角膜移植适应证及术式变化趋势[J].广东医学,2024,45(8):1065-1070,6.

基金项目

广东省基础与应用研究自然科学基金项目(面上项目)(2023A1515011225) (面上项目)

国家自然科学基金(青年项目)(82201227) (青年项目)

广东医学

OACSTPCD

1001-9448

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