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比较用巩膜包裹羟基磷灰石 ( hydroxyapatite,HA)义眼台和不用巩膜包裹的带线 HA义眼台在眼球摘除术后眼眶内植入的疗效。方法 :共眶内植入 HA义眼台 2 32例 ,其中用同种异体巩膜包裹 HA义眼台 48例 ,自体巩膜包裹义眼台 8例 ,带线义眼台 1 76例 ,随诊 5月～ 4年。结果 :共 2 9例 (占 1 2 .5 % )发生与义眼台有关的并发症 ,主要是义眼台暴露 ( 2 5例 ) ,其他为义眼台暴露后合并眶内感染 ( 2例 )、球结膜变薄 ( 2例 )、义眼台植入位置异常 ( 2例 )。异体巩膜包裹义眼台暴露发生率为 1 8.8% ( 9/ 48例 ) ,多数病例暴露范围在 1 0 mm以上 ,须手术处理。而带线义眼台暴露发生率为 8.0 % ( 1 4/ 1 76例 ) ,显著低于异体巩膜包裹义眼台 ( P<0 .0 1 ) ,且暴露范围多在 5 mm内和 6～ 1 0 mm,多可自愈或手术处理容易。结论 :HA义眼台植入术后主要并发症是义眼台暴露 ,用带线义眼台可减少这一并发症的发生
The curative effect of intraocular orbital implantation of hydroxyapatite (HA) eyelid and non-scleral HA-phallus with or without sclera was compared. Methods: There were 2 32 cases of HA eyelid implantation in all orbital areas, including 48 cases of HA eyepithelium wrapped with allogeneic sclera, 8 cases of self-sclera wrapped eyelid eye, Month ~ 4 years. Results: A total of 29 cases (12.5%) had complications related to eyestagitus, mainly eyepieces (25 cases) and others were orbital infections after eyelid exposure (2 cases ), Conjunctival thinning (2 cases), artificial eye implantation position abnormalities (2 cases). Allogeneic scleral graft Yi Yan Taiwan exposure rate was 8.8% (9/48 cases), the majority of cases were exposed in the range of 10 mm or more, to be surgically treated. However, the incidence of eye-line eye exposure was 8.0% (14/76), which was significantly lower than that of allopathic sclera (P <0.01), and the exposure range was mostly within 5 mm and 6 ~ 1 0 mm, more self-healing or easy to handle. Conclusion: The main complication of HA artificial eye implantation is to expose the prosthetic eye, which can reduce the occurrence of this complication