巩膜壳后中央间隙内羟基磷灰石义眼台植入术临床观察(1)

http://www.100md.com 2014年3月1日 中国美容医学2014年第5期

     [摘要]目的：观察分析巩膜壳后中央间隙内一期植入羟基磷灰石义眼台的临床效果。方法：对45例(45眼)眼球内容物剜除术后的患者，于自体巩膜壳后中央间隙内一期 植入羟基磷灰石义眼台，手术后随访24～36月。结果：45眼外形饱满，活动度好，无义眼台暴露、感染、巩膜溶解。结论：巩膜后中央间隙内羟基磷灰石义眼台植入术是简单、安全、有效、并发症少的眶内充填物手术。

    [关键词]中央间隙；羟基磷灰石；义眼台

    [中图分类号]R779.64 [文献标识码]A[文章编号]1008-6455(2014)05-0361-03

    Clinical observation of the implantion with orbital hydroxyapatite in the central gap after scleral shell

    YANG Ming,CHEN Hong

    (Department of Ophthalmology,People's Hospital of Fuling District,Chongqing 408000,China)

    Abstract: ObjectiveTo observe and analyze the clinical effect of the implantion with orbital hydroxyapatite in the central gap after scleral shellMethods45 cases (45 eyes) with evisceration of the eyeball were treated by means of the implantion with orbital hydroxyapatite in the central gap after scleral shell . The followed-up periods of post-operation ranged from 24～36 months. ResultsFor all cases, the orbit is replete, the mobility of eyeball is satisfactory, and orbital infection or implant exposure or sclera dissolution isn't found. ConclusionImplantion with orbital hydroxyapatite in the central gap after scleral shell is simple,safe,effective,less complications of intraorbital filling operation. ......
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    杨明 陈红 涪陵区人民医院眼科;

    【摘要】目的:观察分析巩膜壳后中央间隙内一期植入羟基磷灰石义眼台的临床效果。方法:对45例(45眼)眼球内容物剜除术后的患者,于自体巩膜壳后中央间隙内一期植入羟基磷灰石义眼台,手术后随访24~36月。结果:45眼外形饱满,活动度好,无义眼台暴露、感染、巩膜溶解。结论:巩膜后中央间隙内羟基磷灰石义眼台植入术是简单、安全、有效、并发症少的眶内充填物手术。

    【关键词】 中央间隙 羟基磷灰石 义眼台

    【分类号】R779.64

    由于各种原因行眼球摘除或眼内容物剜除术后常会造成眼窝凹陷、上睑下垂等畸形和美容缺陷。为矫正畸形,改善美容效果,国内外学者不断寻找最理想的填充物替代失去的眼球。目前认为羟基磷灰石义眼台是人体组织相容性好,生理排异反应小的仿生材料[1],已广泛用于眼窝重建。我科自2