伴有眼眶骨折的羟基磷灰石义眼座植入

目的 探讨伴眼眶骨折的羟基磷灰石眼座植入的方法。方法 对63例眼眶骨折的患者在植入羟基磷灰石眼座时根据CT及术中情况，对其中34例同时行眼眶骨折整复并垫Medpor或羟基磷灰石骨板，29例单纯眼座植入。结果 随访1～36个月，平均17．6月，无继发感染和植入物排出现象。3例单纯眼座植入及1例同时手术处理骨折者出现上睑轻度凹陷，其余病例放置义眼片后外观满意。结论 对外伤引起眼球破裂者，尤其是钝性外伤，应检查CT以确定有无骨折，再根据CT及术中情况决定是否处理骨折。

Implantation of hydroxyapatite in patients complicated with orbital fracture

Objective To discuss the way to implant hydroxyapatite complicated with orbital fracture.Methods A group of 63 patients complicated with orbital fracture were studied in this article.34 patients were implanted HA piece or medpor under the periosteum when hydroxyapatite sphere was implatation.29 patients were only implanted hydroxyapatite sphere.Results No secondary infection or implant extrusion occurred in 1-36 months of follow up .Four of 63 patients had sunken eyelid.Other patients' cosmesis was acceptable.Conclusion The patients whose eye was broken by blunt force must be CT scan examination.Then choose the way of operation according to the CT scan and what we find in the operation.