唇黏膜移植联合带蒂筋膜瓣修补义眼台暴露的临床观察  

Lip mucosa transplantation combined with pedicle fascial flap through subconjunctival tunnel repairment for exposure defects of hydroxyapatite prosthesis implant

作　　者：金书红[1] 屠永芳[1] 韩宝红[1] 

机构地区：[1]安阳市眼科医院,河南安阳455000

出　　处：《中国实用眼科杂志》2016年第8期859-861,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察唇黏膜移植联合多个带蒂筋膜瓣经结膜下隧道修补义眼台暴露的临床效果。方法于2009年4月至2015年2月收治17例羟基磷灰石义眼台暴露患者，义眼台前部未暴露区仅有一层结膜组织覆盖、球筋膜组织极少。用牙科钻头磨削、去除暴露区的部分义眼台，清理创面后，用穹窿部3-4个带蒂筋膜瓣经相应的结膜下隧道覆盖于义眼台暴露区，同时联合唇黏膜移植修补结膜缺损区。结果17例患者术后唇黏膜成活良好，无炎性肉芽肿出现。术后随访6～12个月，均未再发生义眼台暴露。结论义眼台前部球筋膜组织极少的义眼台暴露，采用唇黏膜移植联合穹窿部多个带蒂筋膜瓣经结膜下隧道修补是一种安全、有效地治疗方法。Objective To observe the clinical effect of repairment for exposure defects of hydroxyapatite prosthesis implant with lip mucosa transplantation combined pedicle fascial flap through subconjunctival tunnel. Methods Seventeen patients （17 eyes） with few fascia covered of hydroxyapatite prosthesis implant exposures were treated from April 2009 to February 2015. Part of the exposed hydroxyapatite was grinded off by dental drill. The exposed hydroxyapatite anterior surface was cleaned up and the defect was closed by three or four pedicle fornical fascial flaps combined with lip mucosa graft. Results Seventeen postoperative patients maintained closure of the defects during the follow-up of 6 to 12 months. The lip mucosa transplantation was survived. No hydroxyaparite exposure was observed among 17 patients, no inflammatory granuloma was appeared. Conclusions Treatment of hydroxyapatite exposure is difficult, especially hydroxyapatite prosthesis front a few fascia coverage. The method that with three or four pedicle fornical fascial flaps combined with lip mucosa transplantation is safe and effective.

关 键 词：带蒂筋膜瓣 隧道 羟基磷灰石义眼台 暴露 唇黏膜移植 

分 类 号：R779.64[医药卫生—眼科]