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为防止眼球摘除术后眼窝塌陷,我院自1982年采用全皮脂肪瓣眼窝移植术18例,取得了比较满意的效果。18例中男12例,女6例;右13眼,左5眼;其中眼球破裂伤8例,眼内炎3例,绝对期青光眼2例,角巩膜葡萄肿2例,眼球萎缩2例,无眼球1例。年龄最小12岁,最大66岁,平均28岁,全部于局麻下手术。手术方法:①于四直肌前端近附着处,各缝一预置线,然后摘除眼球。②于下腹部备皮区切一15×17×20～25mm全皮脂肪瓣
In order to prevent the orbital collapse after enucleation, our hospital since 1982, the whole skin fat flap orbital implantation in 18 cases, and achieved satisfactory results. Among the 18 cases, there were 12 males and 6 females, right 13 eyes and left 5 eyes. There were 8 cases of ruptured eyes, 3 cases of endophthalmitis, 2 cases of absolute glaucoma, 2 cases of corneal scleral hydrops, 2 cases of atrophy, No eyeball in 1 case. The youngest 12 years old, maximum 66 years old, average 28 years old, all under local anesthesia surgery. Surgical methods: ① in the rectus abdominis near the attachment, the seam of a preset line, and then remove the eyeball. ② cut in the lower abdomen prepared skin a 15 × 17 × 20 ~ 25mm whole skin fat flap