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[摘要]
目的:探讨羟基磷灰石(hydroxyapatite,HA)义眼台植入在眼科整形美容手术中的临床应用。 方法:对52例52眼患者采用不同的手术方式行HA义眼台植入。A组:自体巩膜壳内Ⅰ期植入24例24眼;B组:双层巩膜帽覆盖义眼台肌锥内Ⅰ期植入16例16眼;C组:异体巩膜包裹义眼台Ⅱ期植入12例12眼。 结果:术后随访3~24mo,大部分患者植入义眼台后眼球饱满,并获得一定的眼球活动度(优71.2%;良19.2%;差9.6%)。 结论:HA是当前理想的眶内植入物,应用于临床可以收到满意的效果。
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[Abstract]
AIM:To evaluate the clinical application of hydroxyapatite (HA) orbital implant for plastic surgery of eye. METHODS:Totally 52 cases (52 eyes) underwent three kinds of HA orbital implant procedures. 24 cases (24 eyes) in group A were implanted HA enwrapped self-sclera shell at the first stage. 16 cases (16 eyes) in group B were implanted HA covered double-deck sclera cap at the first stage. 12 cases (12 eyes) in group C were implanted HA enwrapped other-sclera shell at the second stage. RESULTS:Follow-up periods ranged from 3 months to 24 months. After artificial eye slice fixed, most cases got plump eyeball and obtained certain eyeball activity (excellent: 71.2%; good:19.2 %; poor:9.6 %). CONCLUSION:HA orbital implant is the most perfect at the present time. We can receive the satisfactory result if it is applied in clinic.
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