改良式肌锥内义眼台植入术

The improved orbital implantion with hydroxyapatite prosthesis in the muscular pyramid.

目的观察改良式肌锥内羟基磷灰石（HA）义眼台植入的临床效果。方法96例眼球摘除和眼内容摘除术后采取HA义眼台植入肌锥内，义眼台前部采用巩膜或阔筋膜完全包埋。结果术后随访3～24个月，无发生义眼台感染、暴露及脱出者，活动度达到预期目的。外观饱满，双眼对称性好。结论采取HA义眼台植入肌锥内，前部采用巩膜或阔筋膜包埋固定的方法，并发症少、疗效良好。

Objective To observe the effect of improved orbital implantation with hydroxyapatite prosthesis in the muscular pyramid. Methods The hydroxyapatite prosthesis encapsulated with sclera or fascia lata of 96 patients with enucleation or evisceration of eyeball were implanted in the muscular pyramid. Results The follow-up period of the patients was from 3 months to 24 months. No one eases of infection, exposure and extrusion occurred. The implant migration and extrusion achieved the desired purpose. Conclusion The improved HA implant surgery with rare complications and satisfactory therapeutic effect was easy to operate and worth to clinical generalization.