| 羟基磷灰石义眼台植入后脓性肉芽肿的形成原因及治疗探讨 |
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| 引用本文： | 范晓军,朱玉广,朱艳,李秀云,翟阿萍,张立华.羟基磷灰石义眼台植入后脓性肉芽肿的形成原因及治疗探讨[J].潍坊医学院学报,2008,30(6). |
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| 作者姓名： | 范晓军 朱玉广 朱艳 李秀云 翟阿萍 张立华 |
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| 作者单位： | 潍坊医学院眼科研究所,山东,潍坊,261042 |
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| 摘 要： | 目的分析羟基磷灰石(hydroxyapatite,HA)义眼台眶内植入术后结膜脓性肉芽肿形成的原因,探讨治疗脓性肉芽肿的有效方法。方法对1995年9月～2006年7月在我院收治的所有HA义眼台植入病例进行回顾性分析。脓性肉芽肿形成后首先行药物保守治疗,无效后采用手术治疗,随诊18个月～10年。结果共调查250例义眼台植入患者,其中钻孔及栓钉置入68例。其中发生脓性肉芽肿10例,9例在钻孔及栓钉置入术4～7年后发生,1例发生时羟基磷灰石义眼台未钻孔。9例保守治疗及单纯切除效果均欠佳,行HA义眼台取出术,1例拒绝眼台取出而继续保守治疗。结论脓性肉芽肿是HA义眼台植入术后严重并发症,预后较差。脓性肉芽肿的发生原因可能与义眼台植入后义眼台暴露、血管化不足、义眼台钻孔及栓钉置入操作、包被材料及排斥等因素有关。长期的随访对脓性肉芽肿的监测非常重要。
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| 关 键 词： | HA义眼台 脓性肉芽肿 原因 治疗 |
The Causes and Therapy of Pyogenic Granuloma after Hydroxyapatite Orbital Implants |
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| FAN Xiao-jun,ZHU Yu-guang,ZHU Yan,LI Xiu-yun,ZHAI A-ping,ZHANG Li-hua.The Causes and Therapy of Pyogenic Granuloma after Hydroxyapatite Orbital Implants[J].Journal of Weifang Medical College,2008,30(6). |
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| Authors: | FAN Xiao-jun ZHU Yu-guang ZHU Yan LI Xiu-yun ZHAI A-ping ZHANG Li-hua |
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| Institution: | FAN Xiao-jun; ZHU Yu-guang; ZHU Yan; LI Xiu-yun; ZHAI A-ping; ZHANG Li-hua (Eye Institute; Weifang Medical College; Weifang 261042; China); |
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| Abstract: | Objective To analyze the causes of pyogenic granuloma after hydroxyapatite(HA)orbital implants, to study the effective treatment for the pyogenic granuloma.Methods Two hundred and fifty cases of HA orbital implants in our hospital(68 pegged implants)between September 1,1995 and July 31,2006 were analyzed retrospectively. All patients were followed up from 18 months to 10 years.Once the pyogenic granuloma was formed,the medical therapy was the first choice,or the implants had to be removed.Results Ten patien... |
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| Keywords: | HA Pyogenic granuloma Cause Therapy |
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