改良自体巩膜包裹羟基磷灰石义眼台植入术后疗效及并发症及原因分析

Efficacies and complications of reformotive operation of hydroxyapatite orbital implants

目的:分析改良自体巩膜包裹羟基磷灰石义眼台植入术后疗效及并发症,并探讨并发症发生原因。方法:回顾眼内容物剜除联合Ⅰ期改良自体巩膜包裹羟基磷灰石义眼台植入术32例,随诊1年以上。结果:32例中发生并发症的有4例(12.5%),其中义眼台暴露1例(3.13%),结膜创口哆开2例(6.25%),结膜肉芽肿1例(3.13%)。结论:眼内容物剜除联合Ⅰ期改良自体巩膜包裹羟基磷灰石义眼台植入术是安全有效的手术方式。通过规范手术程序等措施可以减少并发症的发生。

Objective To analyze the efficacies and complications of reforrnotive operation of hydroxyapatite orbital implants. Methods Clinical data of 32 patients underwent hydroxyapatite orbital implantation, who were followed-up for more than 1 year were retrospectively analyzed. Results Complications were observed in 4 cases （12.5%）, of whom 1 case had implant exposure, 2 cases had fissure of conjunctiva, and another 1 case had conjunctival granuloma. Conclusion The reformotive operation of hydroxyapatite orbital implants is a safe and effective method for plastic operation of orbital cavity. Complications could be reduced by standardizing the operation procedures and other measures.