【摘要】 目的观察眼球摘除或眼内容物剜除术后,用不同术式眼内植入羟基磷灰石的治疗效果。方法对34例眼球摘除或眼内容物剜除的患者,随机采用异体巩膜壳包裹眼台植入术和改良式羟基磷灰石肌锥内植入术眼内植入羟基磷灰石,观察两种手术方法的远期随访效果,比较两种手术的优劣,明确其适应证,为临床应用提供依据。结果34例患者中(眼球摘除术19例、眼内容物剜除术15例),除2例眼球摘除患者术后半年发生眼台暴露,经手术治疗后痊愈外,其余患者术后眼台运动灵活,美容效果满意。结论对已行眼球摘除或眼内容物剜除的患者,分别采用异体巩膜壳包裹的眼台植入术和改良式羟基磷灰石肌锥内植入术,均能够取得较好的治疗效果。更多还原

【Abstract】 Objective To observe the effects of hydroxyapatite orbital implants with different operational methods in ophthalmectomy or eye evisceration.Methods Thirty four patients with ophthalmectomy or eye evisceration randomly adopted either orbital implants with heterogeneous sclera as a wrapping or improved hy-droxyapatite orbital implants placed into muscle cone.The long-term follow-up effects were observed to compare which method was better and obtain the experimental basis for clinical application.Results 34 patients were treated in the above fashion(19 cases with ophthalmectomy and 15 cases with evisceration procedures).The follow-up period ranged from 9 to 24 months.Orbital exposure occurred in two patients with ophthalmectomy in half a year after operation.But exposed hydroxyapatite implants were treated successfully with autogenous temporalis fascia graft in the both patients.The rest had orbital movement smoothly and showed a satisfying effect of hairdressing.Conclusion Hydroxyapatite implant is well tolerated and implant extrusion is rare.This technique is useful for improving prosthesis motility and reducing the rate of postoperative exposure.Hydroxyapatite orbital implants with heterogeneous sclera as a wrapping or improved hydroxyapatite orbital implants placed into muscle cone both can get better effects.更多还原