羟基磷灰石义眼台植入术的临床效果观察

Clinical effect of hydroxyapatite orbital implantation

目的：探讨羟基磷灰石（hydroxyapatite，HA）义眼台植入术的方法和临床疗效。方法：观察62例62眼眼球摘除一期植入HA义眼台患者，采用非包裹义眼台植入方法，术后随访6~24mo，观察术后效果。结果：患者62例均有较好的手术效果，良好54眼（87%），一般8眼（13%）。无HA义眼台排斥、感染、暴露、脱出、移位；无结膜裂开，无眶内感染及上睑下垂现象。结论：HA义眼台是较理想的眶内植入材料，非包裹义眼台植入术手术方法简单，并发症少，是一种较好的手术方法。

AIM： To investigate the operation methods and clinical effects of hydroxyapatite（HA） orbital implantation. METHODS： Primary implantations were performed in 62 patients 62 eyes with unpacked HA artificial eye mount. The follow-up period was 6-24 months. All of the cases were observed. RESULTS： All of the cases got satisfactory therapeutic effects. 54 eyes （87%） had good effect, while 8 eyes （13%） had ordinary effect. There were no postoperative complications such as exclusion, infection , exposure ,prolapsus, and so on. No conjunctival breach, orbital infection and ptosis occured. CONCLUSION： HA is an ideal material for orbital implantation. Unpacked HA orbital implantation is a good operation method, which is easy and has less compli-cations.