两种不同材料义眼台植入的临床对比及手术技巧探讨

Clinical comparison of two kinds of orbital implants and discussion of surgical technique

目的:对比观察眼内容除去术后生物陶瓷义眼台(法国FCI公司)及羟基磷灰石义眼台(美国IOI公司)植入的临床效果。方法:需行眼内容除去义眼台植入的患者73例73眼,随机分为A,B两组,A组35眼,B组38眼,两组患者均行眼内容除去I期义眼台植入术。A组植入生物陶瓷义眼台,B组植入羟基磷灰石义眼台。结果:术后随访6～15mo,A,B两组患者均未见义眼台暴露、移位及眶内感染,配戴义眼壳后外观满意,活动度佳。结论:眼内容除去后植入生物陶瓷义眼台安全有效,生物陶瓷义眼台是另一种可选择的眶内植入物。

AIM： To compare the clinical effect of intraorbital implantation of bioceramic spheres and hydroxyapatite spheres after evisceration.METHODS： Seventy-three eyes of 73 patients were included in this study. Patients were randomly assigned to A, B groups. Thirty-five eyes were included in A group and 38 eyes in B group, respectively. After evisceration, patients in A group received the bioceramic implant and patients in B group received the hydroxyapatite implant. RESULTS： Patients were followed-up for 6-15 months. There were no complications of implant extrusion, exposure, infection, or migration for patients in both groups. All patients in both groups had a good cosmetic result after final prosthetic fitting. Prosthetic motility was good in all patients.CONCLUSION： Bioceramic is a safe and effective material of orbital implant for correction of anophthalmos after evisceration. The bioceramic implant is an alternative to the hydroxyapatite implant.