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目的 评价儿童患者眼球摘除术后用羟基磷灰石 (hydroxyapatite,HA)义眼台眼眶内植入的疗效。方法 儿童患者眶内HA义眼台植入 1 3 3例 ,其中采用异体巩膜包裹义眼台 3 5例 ,带预置线义眼台直接眶内植入 98例。结果 术后义眼台活动度较好 ,所配戴义眼外观满意。并发症主要为义眼台暴露 ( 1 5例 ,1 1 3 % ) ,其中异体巩膜包裹义眼台发生率为 2 0 % ,带预置线义眼台为 8 2 % ,放射治疗后为 60 %。结论 儿童患者眶内植入HA义眼台有助于眼眶发育和美容 ,眼眶放射治疗后易发生义眼台暴露 ,使用带预置线义眼台可减少并发症。
Objective To evaluate the efficacy of intraocular orbital implantation of hydroxyapatite (HA) in pediatric patients after enucleation. Methods One hundred and thirty-three cases of orbital intraocular HA artificial eye were implanted. Among them, 35 cases were treated with allogeneic sclera, and 98 cases were directly injected with orbital implants. Results The activity of YiYiTai was better and the appearance of YiYiYan was satisfactory. The main complications were eyepiece exposure (15 cases, 11.3%), of which the incidence of allogeneic scleral entrapment was 20%, the preoperative eyepatch was 82% and the radiotherapy was 60 %. Conclusion The orbital implantation of HA Yi eye table in pediatric patients is helpful for the development of orbital eyes and the exposure of Yi eye table after cosmetic or orbital radiotherapy.