羟基磷灰石义眼座不同植入方式的临床效果分析  

Analysis of clinical effects on different methods of hydroxyapatite orbital implantation

作　　者：唐豪[1] 赵丹妮[1] 

机构地区：[1]重庆市急救医疗中心眼科,重庆400014

出　　处：《重庆医科大学学报》2008年第2期237-239,252,共4页Journal of Chongqing Medical University

摘　　要：目的:探讨不同术式羟基磷灰石义眼座植入的效果及并发症防治。方法:对96例(96只眼)行不同方法的羟基磷灰石义眼台植入手术,其中采用直接巩膜壳内植入(①式)34例,直接眶内植入(②式)36例,自体或异体巩膜包裹义眼台眶内植入(③式)26例,随访3～72个月。结果:3种不同术式均取得满意效果,眼眶饱满,义眼台活动度好。主要并发症有:结膜裂开,义眼台暴露等,其中义眼台暴露发生率①式明显高于②、③式(P<0.05),而结膜裂开发生率差异无统计学意义(P>0.05)。结论:羟基磷灰石义眼台直接眶内植入手术方法简单,临床效果好,并发症少,不需自体或异体巩膜材料,有明显优越性。Objective.To discuss the effect of different hydroxyapatite orbital implantation and the prevention and cure of its complications. Methods：96 cases treated with different methods of hydroxyapatite orbital implantation were reviewed. 26 cases were placed directly into the sclera shell （type①）,41 cases were unwrapped in sclera （type②）,and 29 cases wrapped in autologous or homologous sclera were placed into the orbit （type③）. The patients were observed through following up for 3 to 72 months. Results：The effect of the above three surgical types was satisfying. The orbit was full. And the orbital movement was smooth. The main complications included the conjunctiva dehiscence and exposure of the orbit. The incidence of the orbit exposure of type ① was obviously higher than types ② and ③（P〈0.05 ）. And the difference in the incidence of the conjunctiva dehiscence had no significance（P〉0.05）. Gonclusion：The direct hydroxyapatite orbital implantation is a simple surgical type. Its clinical effect is very good. It has few complications. And it does not need the autologous or homologous material. Therefore,its advantage is obvious.

关 键 词：羟基磷灰石 义眼台 植入 手术方式 

分 类 号：R779.64[医药卫生—眼科]