儿童羟基磷灰石义眼台暴露的原因及预防  

Causes and prevention of exposure of hydroxyapatite implantation in orbit in children

作　　者：毛立林 田彧[2] 肖满意[2] 

机构地区：[1]岳阳市一人民医院眼科,湖南岳阳414000 [2]中南大学湘雅二医院眼科,湖南长沙410000

出　　处：《中国现代医学杂志》2009年第10期1557-1559,共3页China Journal of Modern Medicine

摘　　要：目的探讨儿童羟基磷灰石义眼台暴露的原因和预防,并和成人的暴露原因比较有无区别。方法回顾性分析2个医院2002年6月～2008年6月期间收治的义眼台暴露患者92例。分别统计各自暴露原因。结果义眼台暴露原因有术式选择不当10例、手术操作不当2例、义眼台选择不当21例、肿瘤复发8例和感染26例等。但植入义眼台偏大、肿瘤复发在儿童更易导致植入失败,而感染原因在成人更易出现。结论在儿童羟基磷灰石义眼台植入时,除注意术式选择、手术操作不当和感染外,更应该注意义眼台大小和肿瘤复发因素。[Objective] To analyse the causes of exposure after hydroxyapatite implantation in orbit in children, and compare the difference with that of adults＇, then summarize their preventive measures aecordingly. [Methods] 92 patients suffering from exposure of hydroxyapatite implantation in orbit between June 2006 and June 2008 were retrospective studied. [Results] Causes of exposure after hydroxyapatite implantation in orbit ineluded that incorrect choice of modus operandi 10 eases, improper operative procedure 27 cases. Inappropriate ocular prosthesis 21 eases. Tumor recrudescence 8 eases and infection 26 .easeS. More potentiality eauses in children were the size of ocular prosthesis and tumor recrudescence, but in adults more potentiality causes were infection. [ Conclusion] We need pay more attention to the size of ocular prosthesis and tumor recrudescence, meanwhile, the incorrect choice of modus operandi or improper operative procedure or infection also should not be ignored, when hydroxyapatite implantation in orbit in children.

关 键 词：儿童 羟基磷灰石义眼台 暴露 

分 类 号：R77[医药卫生—眼科]