医学
角膜
眼科
角膜移植
角膜病
重症监护医学
围手术期
羊膜
外科
怀孕
胎儿
遗传学
生物
出处
期刊:PubMed
日期:2023-10-11
卷期号:59 (10): 779-783
标识
DOI:10.3760/cma.j.cn112142-20230712-00268
摘要
Amniotic membrane (AM) can promote epithelialization, inhibit inflammation and be antimicrobial. It has been widely used in the clinical treatment of corneal epithelial and stromal defects. However, the misuse and abuse of AM might aggravate the primary disease and even lead to the loss of the best timing for other surgical interventions. Based on domestic and foreign clinical practice guidelines and medical evidence, the Cornea Group of Ophthalmology Branch of Chinese Medical Association has formed consensus opinions about the indications, surgical techniques and perioperative management of AM transplantation, so as to standardize the application of AM in the treatment of corneal and ocular surface diseases.羊膜具有促进上皮愈合、抑制炎性反应、抗微生物等特性,在眼科临床广泛应用于角膜上皮和基质缺损的修复治疗。目前临床羊膜手术存在羊膜误用和滥用、手术方式和适应证选择错误等问题,可能导致原发病加重,使患者失去其他治疗最佳时机。为了规范羊膜手术在角膜和眼表疾病治疗中的应用,中华医学会眼科学分会角膜病学组汇集该领域相关专家,参考国内外临床实践规范,结合循证医学证据,对羊膜手术的适应证、方式和技术以及围手术期用药管理等进行充分讨论,形成共识性意见,以期为临床工作提供参考和指导。.
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