羊膜包裹的羟基磷灰石义眼座植入  

Hydroxyapatite ocular prosthesis implants wrapped by human amniotic membrane

作　　者：刘文斌[1] 孙思勤[1] 温耀春[1] 万川[1] 

机构地区：[1]安徽省立医院眼科,安徽省合肥市230001

出　　处：《眼科新进展》2001年第3期191-192,共2页Recent Advances in Ophthalmology

摘　　要：目的　观察羊膜包裹的羟基磷灰石义眼座植入的临床效果。方法　 7例眼球摘除术后 ,以库存的人羊膜缝合包裹选定的合适直径的义眼座 ,后段覆盖羊膜多处开窗后将义眼座植入肌椎内 ,再通过义眼座前 1/ 3处穿出 4条缝线将4条直肌缝合固定在义眼座上 ,然后分层缝合筋膜、结膜。结果　追踪观察 8～ 39wk,除 1例因局部放疗后眼结膜、筋膜萎缩 ,义眼座暴露 ,库存异体巩膜修补失败后 ,将义眼座取出外 ,其余 6例外观饱满 ,义眼活动良好。结论　羊膜包裹的羟基磷灰石义眼座效果良好。羊膜可成为新的义眼座包裹物。Objective To observe the clinical effects of human amniotic membrane as an alternative substrate for wrapping hydroxyapatite ocular prosthesis implants Methods After enucleation, hydroxyapatite orbital implants wrapped by human amniotic membrane were implanted with four rectus sutured to the implants Among them, 4 cases were given primary implantation and 3 cases secondary implantation Results After 8 to 39 week follow up, it was found that in 6 cases, the eyelids were plump and prosthesis moved well, but one implant was removed because of failure of scleral patch graft for implant exposure Conclusion The clinical results were satisfactory for ocular prosthesis implantation of hydroxyapatite sphere wrapped by human amniotic membrane, which may be considered as an alternative substrate for ocular prosthesis implants wrapper

关 键 词：羊膜 羟基磷灰石 义眼座 

分 类 号：R779.64[医药卫生—眼科]