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前部完全包裹式羟基磷灰石义眼台植入术的效果

Effect of hydroxyapatite orbit implant wrapped completely in its anterior hemisphere

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【作者】 姜涛姜靖杨珊珊赵桂秋林静高岩王传富

【Author】 Tao Jiang1,Jing Jiang2,Shan-Shan Yang1,Gui-Qiu Zhao1,Jing Lin1,Yan Gao1,Chuan-Fu Wang11Departmen of Ophthalmology,the Affiliated Hospital of Medical College,Qingdao University,Qingdao 266003,Shandong Province,China;2Medicine Systems,the Affiliated Hospital of Medical College,Qingdao University,Qingdao 266003,Shandong Province,China

【机构】 青岛大学医学院附属医院眼科青岛大学医学院附属医院内科

【摘要】 目的:探讨前部完全包裹式羟基磷灰石(hydroxyapatite,HA)义眼台植入术的效果。方法:对52例患者施行前部完全包裹式羟基磷灰石义眼台植入术,术后观察外观、义眼台活动度情况及并发症的出现情况。结果:术后随访6~24mo。52例HA义眼台居中,眼窝凹陷消失,义眼与健眼对称,外观满意。HA义眼台活动度优者42例(81%),良者10例(19%)。无HA义眼台脱出。出现结膜切口裂开5例(10%),结膜肉芽肿1例(2%),结膜囊狭窄1例(2%)。结论:HA义眼台植入术加强了义眼台的前部包裹物,降低了结膜切口裂开及义眼台暴露的发生率。

【Abstract】 AIM:To evaluate the effect of hydroxyapatite(HA)orbit implant-wrapped completely in its anterior hemisphere.METHODS:Fifty-two cases underwent HA orbit implantation.The anterior hemispheres of the implants were wrapped completely.The cosmesis,ocular movement and the complications were observed postoperatively.RESULTS:The follow up was 6-24 months.The cosmetic results and ocular movement were satisfactory.No patients had extrusion of the implant.Five patients(10%)developed conjunctival wound dehiscence.One patient(2%)developed a conjunctival granuloma.In one patient(2%),there was shallowing of the inferior fornix.CONCLUSION:The new type of hydroxyapatite orbit implantation strengthens the wrapping of the anterior hemisphere of the implantation.It reduces the morbidity of the conjunctival dehiscence and implant exposure.

  • 【文献出处】 国际眼科杂志 ,International Journal of Ophthalmology , 编辑部邮箱 ,2009年01期
  • 【分类号】R779.64
  • 【被引频次】9
  • 【下载频次】75
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