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目的探讨羟基磷灰石在眼部整形中的作用及疗效。方法用国产及进口羟基磷灰石包埋眼眶塌陷处,自体巩膜壳内,置于眼肌锥内。Ⅱ期手术时需将眼四条直肌相对应缝合,制成可转动的义眼座,保留原眼球外形及眼肌的功能,术后安装义眼片。结果患者外形矫正满意,义眼活动自如,改善了眼部外观,随访半年—2年,无严重并发症、后遗症,术后效果好。结论羟基磷灰石是目前眼部整形术中的效果最好的材料。
Objective To investigate the effect and therapeutic effect of hydroxyapatite in ocular plastic surgery. Methods Domestic and imported hydroxyapatite orbital collapse, autologous scleral shell, placed in the eye cone. During the operation of stage Ⅱ, the four rectus muscles corresponding to the eye should be stitched together to form a rotatable eyelid, which retains the original eyeball shape and ocular muscle function. Results The patient was satisfied with the shape correction and the eyelid was free to move and improve the appearance of the eye. The follow-up of six months to two years showed no serious complications, sequelae and postoperative effects. Conclusion Hydroxyapatite is the most effective material in ocular plastic surgery.