重度义眼座暴露原因分析及个性化治疗  

Risk factors and individulization of management for severe obital implant exposure

作　　者：胡长青[1] 姜淑红[2] 黄丹平[2] 许诺[2] 

机构地区：[1]江西省赣州市人民医院,赣州341000 [2]中山大学中山眼科中心眼科学国家重点实验室,广州510060

出　　处：《中国实用眼科杂志》2010年第12期1345-1347,共3页Chinese Journal of Practical Ophthalmology

基　　金：基金项目：广东省科技计划项目（2008A060202011）

摘　　要：目的 分析导致重度义眼座暴露相关因素及总结其个性化治疗效果.方法 回顾19例重度义眼座暴露患者,对其病史,手术方式,暴露因素,治疗措施及效果进行总结.结果 19例重度义眼座暴露患者中,合并感染3例,义眼座材质不良5例,合并肉芽肿2例,多次暴露修补失败者9例.针对不同致病因素采用不同的处理方法,18例效果满意,能佩戴合适义眼,其中14例行义眼座暴露修补术,术后未发生暴露;4例行义眼座取出术,均在半年后行二期义眼座植入.1例曾经全身化疗者义眼座暴露修补失败,取出义眼座.结论 针对不同原因,采用不同的处理措施是治疗重度义眼座暴露的原则.Objective To investigate the risk factors of implant exposure and individulization in dealing with the patients with severe exposure. Methods A total of 19 cases of the patients with severe exposure were reviewed and followed up, summarizing the clinical experience, the risk factors for exposure of orbital implants and surgical techniques. Results The risk factors for exposure of orbital implants including complicat ed infection （3 cases）, granuloma formation （2 cases）, poor merterial （5 cases）, and ineffective explosure revi sion （9 cases）. Through detailed management for these patients, 18 cases were satisfied by both doctor and patient. Fourteen of them had no implant exposure after revision, and 4 performed secondary orbital implants 6months after implant extractiaon. However, 1 case with chemotherapy had implant extraction because of ineffective explosure revision. Conclusions Individuation treatment for all kinds of risk factors should be obeyed as the prevention and operation is carried.

关 键 词：义眼座 暴露 处理 

分 类 号：R779.64[医药卫生—眼科]