板层巩膜瓣术与带线义眼台术的对比研究  

The compared study of two kinds of operations for hydroxyapatite orbital implantation at phase Ⅰ

作　　者：曲超[1] 林伟[1] 梅翼平[1] 乔利峰[1] 樊映川[1] 

机构地区：[1]四川省医学科学院；四川省人民医院眼科,成都610072

出　　处：《中国实用眼科杂志》2007年第9期998-1000,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 设计Ⅰ期义眼台植入术的一种新术式。方法 将30例Ⅰ期义眼台植入术患者随机分入2组,带线义眼台组和板层巩膜瓣组。板层巩膜瓣术的关键是以直肌止端剥离板层巩膜瓣使肌肉与眼球分离代替常规的直肌剪断缝合。对比观察2种术式的术后反应、义眼台活动度和义眼片配戴情况。结果 带线义眼台组14名患者术后均有恶心、呕吐和胀痛,板层巩膜瓣组14名患者仅有疼痛;板层巩膜瓣组义眼台和义眼片运动度明显好于带线义眼台组（P=0.0075,P=0.0017）。结论 与带线义眼台术相比,板层巩膜瓣术减轻了对眼外肌的牵拉,术后无胃肠反应;术中注意保护肌肉与肌筋膜,远期运动度良好;结膜囊弧度好,义眼片的跟随运动好。板层巩膜瓣术可以作为I期义眼台植入术的又一选择术式。Objective To design a new kind of operation for hydroxyapatite orbital implantation at phase Ⅰ. Methods 28patients were divided into 2 groups： unwrapped in sclera and lamellar scleral flap remained. The key point of the new operation is to separate the rectus and eyeball by making lamellar scleral flaps under the insertion of the rectus muscles instead of cutting rectus muscles off. The new operation was compared with the unwrapped in sclera by the postoperative complication and movement of the artificial eye. Results All the patients （14） in the unwrapped group complained about disgust, vomit and pain. The patients in the new operation group only complained about pain, and have better movement of artificial eye （P=0.0075, P=0.0017）. Conclusion Compared with the unwrapped group, the new operation have no enteron response by reducing the traction of rectuses, and have better movement of artificial eye by protection the rectus muscles and tendinous sheath and by making better convex curve of conjunctiva.

关 键 词：板层巩膜瓣 羟基磷灰石 义眼台 

分 类 号：R779.64[医药卫生—眼科]