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目的:研究眼内容剜除术后Ⅰ期植入国产羟基磷灰石(hydroxyapatite,HA)义眼台的临床疗效及手术并发症。方法:回顾性分析2004-01/2010-01在我院住院行眼内容剜除后Ⅰ期植入国产HA的患者20例20眼,其中男12例,女8例。观察患者术后疼痛程度、结膜水肿时间、结膜愈合时间以及HA暴露率。术后随访4~8(平均6)mo。结果:全部20例20眼患者均成功植入国产HA,眼眶外观饱满,眼球活动度良好,无1例发生HA排斥现象。结论:眼内容剜除术后Ⅰ期植入国产HA是临床治疗需摘除眼球患者的理想方法。
Objective: To study the clinical efficacy and complications of hydroxyapatite (HA) artificial eye implanted in stage Ⅰ after eye surgery. Methods: Twenty patients (20 males and 12 females, including 8 males and 20 females) were enrolled in our hospital from January 2004 to January 2010. The degree of postoperative pain, the time of conjunctival edema, the healing time of conjunctiva and the rate of HA exposure were observed. Postoperative follow-up 4 ~ 8 (average 6) mo. Results: All 20 cases of 20 patients were successfully implanted domestic HA, full orbital appearance, good eye activity, no case of one case of HA rejection phenomenon. Conclusion: Excision of ocular contents in stage Ⅰ after implantation of domestic HA is an ideal method for the clinical treatment of patients with exophthalmos.