论文部分内容阅读
目的:观察儿童羟基磷灰石义眼台植入的临床效果。方法:回顾性分析不同原因造成眼球摘除的31例患儿,其中男性 21例,女性 10例,年龄 3岁～14岁,平均 8.2岁,采用义眼台一期植入 20例,义眼台二期植入 11例,植入直径 18mm义眼台者 17例,植入 20mm义眼台者 14例。结果:31例患儿术后 1例结膜裂开,5例出现轻度上睑沟凹陷,随访 1年～8年,所有患者无感染、无排斥、无义眼台暴露,运动好,外观满意。结论:儿童患者应尽可能一期植入义眼台,采用巩膜包裹义眼台植入的 3岁～6岁患儿选择 18mm直径的义眼台,而 7岁～14岁患儿尽量接近成人选用 20mm直径的义眼台。注意手术操作、术后用药及护理可减少术后并发症。
Objective: To observe the clinical effect of hydroxyapatite orbital implantation in children. Methods: A retrospective analysis of 31 cases of enucleation caused by different causes, including 21 males and 10 females, aged 3 years to 14 years, mean 8.2 years, Yi Yi Tai stage implantation of 20 cases, Yi Yan Taiwan In the second stage, 11 cases were implanted, 17 cases were implanted with 18mm diameter eyeball, and 14 cases were implanted with 20mm eyeball. Results: One case of conjunctival rupture occurred in 31 cases and mild upper eyelid depression in 5 cases. All the patients were followed up for 1 year to 8 years. All patients had no infection, no rejection, no exposure to eyeball, good exercise and satisfactory appearance . CONCLUSIONS: Pediatric patients should be implanted with YI TAO stage one if possible. Children aged 3 to 6 years old with sclera wrapping YI TAO stage should be selected with 18mm diameter YITAI station, while children aged 7-14 should be as close to adult as possible Use 20mm diameter Yi Yi Taiwan. Attention to surgical procedures, postoperative medication and care can reduce postoperative complications.