自体双层巩膜覆盖羟基磷灰石肌锥内植入术的临床观察.doc

自体双层巩膜覆盖羟基磷灰石肌锥内植入术的临床观察.doc自体双层巩膜覆需拜基磷灰石肌锥内植入术的临床观察作者:雷海云单位:530300)中国广西壮族口治区横县人民医院眼科【摘要】目的:观察双层巩膜覆盖拜基磷灰石肌锥内植入术的临床效果和并发症的情况。方法:对56例56眼进行拜基磷灰石义眼台双层巩膜覆盖肌锥内植入术,术后随访6〜24moo结果:所有56例均无结膜裂开、义眼台感染或义眼台暴露,安装义眼片后,义眼活动良好,仿真效杲满意。结论:双层巩膜覆盖轻基磷灰石义眼台肌锥内植入术对眼外肌及眶脂肪的损伤较轻,并发症少、恢复快,是比较理想的手术方法。【关键词】口体双层巩膜;疑基磷灰石;肌锥内ClinicalobservationofautologousdoublescleracoveredhydroxyapatiteimplantationinmuscleconeHaiYunLeiDepartmentofOphthalmology,PeoplesHospitalofHengCounty,HengCounty530300,GuangxiZhuangAutonomousRegion,ChinaAbstractAIM:plicationsofautologousdoublescleracoveredhydroxylapatiteimplantationinthemusclecone・METHODS:Fiftysixsubjects(56eyes)underwentdoublescleracoveredhydroxylapatiteimplantationinthemusclecone,:Fiftysixsubjects(56eyes)didnthaveconjunctivasplit,,:Autologousdoublescleracoveredhydroxyapatiteimplantationinthemuscleconehaslightdamagetoextraocularmuscleandorbitalfat,plicationsandfastrecovery,:autologousdoublesclera;hydroxyapatite;musclecone0引言近年来,轻基磷灰石已广泛应川于整形外科,其球形义眼台已成为义眼窝重建术的一种最佳充填材料[1,2]。但术后出现义眼台脱出、义眼台感染、义眼台移位和义眼台前极暴露等[3]并发症,我院于2005/2009年采用双层巩膜覆盖疑基磷灰石肌锥内植入术56例,经随访观察疗效满意,现报告如下。,其中男30例,女46例。年龄16〜75(±)岁。手术原因:眼外伤、绝对期青光眼、角膜葡萄肿、角膜溃疡穿