羟基磷灰石眶内植入与单纯硅胶球眶内充填的比较分析  

Comparative analysis of clinic efficacy of HA orbital implantation and silicon ball implantation

作　　者：胡艳霞[1] 徐法松[2] 

机构地区：[1]厦门大学附属第一医院眼科,361003 [2]厦门大学附属中山医院眼科

出　　处：《中国实用医药》2013年第20期64-65,共2页China Practical Medicine

摘　　要：目的观察羟基磷灰石义眼植入在矫正眼内容摘除后眼眶畸形综合征的临床效果,并与单纯硅胶球眶内充填作一比较。方法回顾性分析2006年5月至2011年10月48例眼球或眼内容摘除术的患者,将其中28例改进术式后行羟基磷灰石眶内植入术的患者设为观察组;另20例早期行单纯硅胶球眶内充填的患者设为对照组。观察记录两组术后早期眼睑肿胀、结膜水肿、结膜伤口愈合情况,观察1～2年。结果两组患者术后结膜水肿轻重差异无统计学意义(P>0.05);随访1～2年,观察组患者对外观的满意度明显比对照组高(P<0.01)。结论羟基磷灰石义眼眶内植入的治疗效果较好,明显改善患者外观,义眼活动度良好,且并发症少。Objective To evaluate the different clinic efficacy of hydroxyapatite（HA） implantation and silicon ball implantation for orbital deformity syndrome after evisceration or enucleation. Methods It was a retrospective analysis of forty eight post evisceration or enucleation cases,we set 28 HA implantation cases as observation group,20 silicon ball implantation cases as control group. Observe and record conjunctival healing situation and chemosis during early stage to 1～2 years after operation. Results No significant differences were observed in chemosis changes between two groups （P 0.05）; the degree of satisfaction of observation group was significantly better than that in control group（P 0.01）. Conclusion The therapeutic effects of HA implantation are better than effect of silicon implantation,significantly improve appearance of patients,synthetic eye activity is satisfactory with fewer complications.

关 键 词：眼球或眼内容摘除 羟基磷灰石 硅胶球 

分 类 号：R779.64[医药卫生—眼科]