带线羟基磷灰石义眼座非包裹植入的临床分析

目的评价带线羟基磷灰石义眼座(HA)无包裹植入的临床疗效。方法对29例眼球摘除术后患者,采用带线羟基磷灰石义眼座作为眼窝植入物,无包裹直接植入。Ⅰ期植入21例。Ⅱ期植入8例。结果分别随访5-18月,4眼术后出现球结膜裂开,2眼术后轻度上睑下垂,1眼术后五月义眼座中度暴露,均经相应治疗后恢复。其他病例手术效果良好,无植入物脱出及移位,义眼座活动度良好。结论带线羟基磷灰石义眼座直接植入术,具有操作简单、材料易得、并发症少等优点,具有良好的应用前景。

Clinical analysis of hydroxyapative with suture intraorbital unwrapped implants

Objective To evaluate the clinical effect of hydroxyapative(HA) with suture intraorbital tamponade to be implanted for the correction of eye ball enucleated.Methods The 29 cases received the HA with unwrapped implants, 21 of these cases had been referred for primary enucleation, and 8 for secondary implant surgery.Results After observing and the following-up all the 29 cases for 5-18 months, these patients were found to have full eyelids and the HA with unwrapped implants were found to be successful and well movable, except 4 cases have the compliations of implants exposure, 2 cases ptosis and 1 case implant medium exposure after 5 months, finally recovered by correspondent treatment. Conclusion With advantages of simple operation, material easily available, and low rate of complications, the technology of HA with unwrapped implant can be well prospectively applied.