多层自体巩膜瓣覆盖羟基磷灰石义眼台植入的效果  

Effect of Multilayer Autologous Scleral Flap Covered Hydroxyapatite Implantation

作　　者：李英琦[1] 王鲜[1] 

机构地区：[1]贵州医科大学眼科,贵州贵阳550004

出　　处：《贵阳医学院学报》2015年第10期1090-1092,共3页Journal of Guiyang Medical College

摘　　要：目的:探讨多层自体巩膜瓣覆盖羟基磷灰石义眼台植入术后的效果。方法:38例行眼内容物剜除术患者,其中18例选择采用羟基磷灰石义眼台植入术植入义眼,20例选择多层自体巩膜瓣覆盖羟基磷灰石义眼台植入术植入义眼,比较观察组及对照组病人术后义眼台暴露率、活动度,同时观察并发症情况。结果:观察组和对照组义眼台活动度比较差异无统计学意义(P>0.05),对照组术后发生结膜炎1例,并引发义眼台暴露,再次缝合后愈合;两组均未发生其它并发症。结论:多层自体巩膜瓣覆盖羟基磷灰石义眼台植入术,是眼内容物剜除术后眼窝填充较为理想的手术方法,可有效降低手术后义眼台暴露等并发症。Objective： To investigate the use of muhilayer autologous scleral flap covered hydroxyapa- tite implantation and analyze its postoperative effects. Methods： Thirty-eight patients who received hydroxyapatite implantation from August 2012 to February 2014 were enrolled in this study, of whom 20 cases were selected to undergo muhilayer autologous scleral flap covered hydroxyapatite implantation （observation group）. The orbit motion, orbit implant exposure rate and complications were observed and compared between observation group and control group. Results： There was no statistical difference in orbit motion between observation group and control group. In control group, there was one case of conjunctivitis, which incurred orbit implant exposure and healed by suture. There were no other com- plications in two groups. Conclusion： Multilayer autologous scleral flap covered hydroxyapatite im- plantation is an ideal surgery among clinical orbital plombage, which can effectively reduce complica- tions such as orbital exposure.

关 键 词：羟基磷灰石义眼台 植入 义眼台暴露 

分 类 号：R779.64[医药卫生—眼科]