论文部分内容阅读
目的观察两种不同术式植入羟基磷灰石(HA)义眼座的手术效果。方法对38例(38只眼)行眼球内容物剜除术的患者随机分组,A组:21例(21只眼)采用巩膜花瓣状成形义眼座植入术。B组:17例(17只眼)采用巩膜帽状扣盖义眼座植入术,观察两组术式的疗效和远期并发症,随访6~24个月。结果随访期间38例患者术后义眼座活动灵活,眼窝饱满,无义眼座暴露及感染等并发症的发生。结论对于眼内容物剜除的患者,采用巩膜花瓣状成形义眼座植入术或是巩膜帽状扣盖义眼座植入术,均能获得良好的效果。两种术式损伤均小,简便易行,术后并发症少,值得推广。
Objective To observe the surgical effects of hydroxyapatite (HA) implantation in two different surgical procedures. Methods Thirty-eight patients (38 eyes) undergoing ocular balloon mastectomy were randomly assigned. Group A: 21 cases (21 eyes) received scleral petaloid implantation. In group B, 17 cases (17 eyes) were treated with scleral cap clasp capsular orbital implantation. The curative effect and long-term complications were observed in two groups and were followed up for 6-24 months. Results During the follow-up period, 38 patients had flexible orbital oculomotion, full orbital loosening, complications such as exposure and infection. Conclusions For patients with ocular deconstruction, scleral petaloid orbital implantation or scleral carapace orbital prosthesis implantation can achieve good results. Two kinds of surgical injury are small, simple and easy, less postoperative complications, it is worth promoting.