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目的 观察眼球摘出后羟基磷灰石眼座眶内植入的疗效。方法 采用巩膜或硬脑膜包裹羟基磷灰石作为眶内植入物 ,观察 12 7例的疗效 ,其中 66例摘出眼球或眼内容后Ⅰ期植入 ,61例Ⅱ期植入。术后半年钻孔 74例。结果 随访 1～ 3 6月 5例出现眼座暴露 ,未见眶内感染或植入物排出现象。义眼运动良好 ,钻孔手术后联动义眼活动度达 3 0°～ 45°。结论 羟基磷灰石眼座眶内植入并发症少 ,植入后外观满意 ,眼片活动度佳 ,能达到仿真效果。
Objective To observe the effect of hydroxyapatite orbital implantation after eyeball extraction. Methods The sclera or dura mater was used to enclose hydroxyapatite as an orbital implant. The curative effect of 127 cases was observed. Among them, 66 cases were enucleated in the first stage of eyeball or ocular contents and 61 cases were implanted in the second stage. Sixty-two postoperative drilling 74 cases. Results The follow-up 1 to 3 June 5 cases of ocular exposure, no orbital infection or implant discharge phenomenon. Eye movement is good, after drilling surgery linkage eye movement of 30 ° ~ 45 °. Conclusions Hydroxyapatite orbital implantation fewer complications, the appearance of satisfactory after implantation, ophthalmic motion is good, to achieve the simulation results.