视网膜母细胞瘤行眼球摘除术后义眼台植入41例效果观察及护理  

Observation of the effective outcome of implantation of hydroxyapatite artificial eye for 41 patients operated on retinoblastoma and nursing care

作　　者：赵善瑶 卢洪娥 吴瑗[1] 张振华[1] 何伟[1] 

机构地区：[1]青岛大学医学院附属医院,山东青岛266003 [2]滨洲医学院附属医院

出　　处：《齐鲁护理杂志》2007年第10期6-7,共2页Journal of Qilu Nursing

摘　　要：目的:探讨视网膜母细胞瘤(RB)患者行眼球摘除后实施羟基磷灰石义眼台植入,对其眼眶发育的影响、植入的最佳时机及护理方法。方法:对19例I期植入患者和22例II期植入患者进行程序化护理、长期随诊,并对其健、患侧眼眶发育情况进行观察比较。结果:羟基磷灰石义眼台I期植入者其健、患侧眼眶发育无显著差异(P>0.05),II期植入者其差异有显著性(P<0.01)。结论:视网膜母细胞瘤患者行眼球摘除术后应尽量I期放置合适的义眼台,以促进其眼眶发育;科学的程序化护理可预防心理障碍、术眼感染等并发症的发生。Objective： To explore the effect of implantation of hydroxyapatite artificial eye on orbit development of patients operated on retinoblastoma, the best chance for implantation and nursing methods. Methods： Nineteen patients with primary HA implantation and 22 patients with secondary HA implantation were all given programmed nursing care, long - term follow - up to observe and compare the orbit development of affected eye and normal eye. Results： No significant difference was found in orbit development of both eyes of patients receiving primary HA implantation （ P 〉 0. 05 ） and there was significant difference in the patients receiving secondary HA implantation （ P 〈 0. 01 ）. Conclusion ： Primary implantation of hydroxyapatite artificial eye is encouraged, which can promote orbit development ; scientific and programmed nursing care can prevent from mental disturbance and incidence of postoperative complication.

关 键 词：视网膜母细胞瘤 眼球摘除 羟基磷灰石义眼台 眼眶发育 

分 类 号：R473.77[医药卫生—护理学]