颞浅动脉岛状皮瓣修复重度感染性义眼座暴露  

The repair surgery of severe infectious orbital implants exposure with superficial temporal artery island flaps

作　　者：杨鸿斌 刘素芝 包俊辉 刘萍 

机构地区：[1]新疆维吾尔自治区职业病医院眼科,乌鲁木齐830091

出　　处：《中华眼外伤职业眼病杂志》2013年第11期859-861,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨颞浅动脉岛状皮瓣一次性修复感染性义眼座大面积暴露的方法和效果。方法新疆职业病医院眼科6例（6眼）义眼座暴露直径〉10mm或合并感染的回顾性分析。结果经过局部贯穿并冲洗控制感染，取同侧颞浅动脉岛状皮瓣，植入义眼一次性修复大面积结膜囊缺损，6例全部成活，皮瓣血供稳定，耐磨性良好，与结膜囊内组织愈合平整。安装义眼各象限活动自如。术后2例出现毛发过长，需修剪，未见其它术后并发症，随访1～5年，手术效果良好。结论局部有效抗炎结合颞浅动脉岛状皮瓣，一次性修复严重义眼座暴露合并感染，是可行有效的手术方式。Objective To discuss the method and efficacy of repairment of large severely infectious orbital implants exposure with superficial temporal artery island flaps. Methods To analyse retrospectively the clinical data in ophthalmology department of Xinjiang Hospital of Occupational Disease： 6 eyes from 6 cases, with exposure of diameters over 10 mm or concurrent infections in orbital implants. Results After partial penetration and flush for infection control, the patient＇ s ipsilateral superficial temporal artery island flaps were implanted into the ocular prosthesis to repair the large defect of the conjunctiva sac all at once. All the flaps of 6 cases survived, with stable blood supply, good wear resistance and smooth union with the conjunctiva sac tissues. The ocular prosthesis moved smoothly in all quadrants. Except for the long hair after surgery in 2 cases, no other postoperative complications appeared in the follow-up of 1 to 5 years, with good effect of the treatment. Conclusion The effective partial anti-inflammatory therapy, combined with the superficial temporal artery island flap, is a feasible and effective surgery procedure to repair severe ocular prosthesis exposure and the co-infection.

关 键 词：皮瓣 岛状 颞浅动脉 羟基磷灰石 义眼座暴露 修复手术 

分 类 号：R779.64[医药卫生—眼科]