儿童羟基磷灰石眼窝植入的临床研究  

Clinical study of the hydroxyapatlte orbital implant in children

作　　者：宋斗[1] 高方[2] 苏书[2] 孙桂珍[2] 

机构地区：[1]浙江大学医学院 [2]解放军117医院眼科

出　　处：《眼外伤职业眼病杂志》2003年第6期388-389,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 评价儿童眼球摘除术后羟某磷灰石眼座眼窝植入的疗效。方法 采用自体巩膜或异体硬脑膜包裹羟基 磷灰石作为眼窝植入物,观察56例的疗效,其中36例眼球摘除后Ⅰ期植入,20例Ⅱ期植入,6例钻孔放置栓钉。结果 随访1～ 78月,无眼座暴露、眶内感染或植入物排异、移位等并发症,外观满意。钻孔后放置栓钉者活动佳,未钻孔者活动稍差。结论 儿童羟某磷灰石眼座眼窝植入并发症少,能促进眼眶的正常发育,有助于儿童的身心健康成长。Objective To evaluate the clinical effect of a surgical procedure to reconstruct socket with hydroxyapatite in the anopthalmic children. Methods Hydroxyapatite was wrapped up in the scleral or dura mater shell as a orbital implant. 56 consecutive patients were followed, 36 of them had been referred for primary enucleation, and 20 for secondary implant surgery. 6 patients had been drilled. Results There were no cases of orbital infection , implant extrusion, implant exposure or migration in 1-78 months of follow up. All children achieved a better facial appearance. Six elder children underwent drilling and peg placement and had excellent prosthesis motility. Conclusion The hydroxyapatite orbital implant give good cosmetic results with a low rate of complications, promotes orbital development, and helps to children's normal body and mind growth.

关 键 词：眼球摘除术 术后 羟基磷灰石眼座眼窝植入 临床研究 儿童 疗效 

分 类 号：R779.64[医药卫生—眼科]