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【目的】分析多孔羟基磷灰石 (HA)义眼台眶内植入后的并发症并探讨其原因。【方法】回顾眶内植入羟基磷灰石义眼台 32 0例 ,随诊 6月～ 4年。【结果】 32 0例中发生并发症的有 46例 (14 4% ) ,其中义眼台暴露 41例 (12 8% ) ,义眼台位置异常 2例 ,其它并发症包括义眼台慢性感染、结膜肉芽肿等。义眼台暴露的发生时间为术后 7d～ 6月 ,范围为 2～ 15mm。【结论】羟基磷灰石义眼台眶内植入最常见的并发症是义眼台暴露 ,并发症的发生原因与多种因素有关 ,包括术前眼病史、包裹义眼台的异体巩膜的排斥溶解、义眼台的选择、缝合技术、术后眼眶的放射治疗等。
【Objective】 To analyze the complications of porous hydroxyapatite (HA) artificial orbital implantation and to explore its cause. 【Methods】 Thirty-two cases of hydroxyapatite orbital implants were retrospectively treated, followed up for 6 months to 4 years. 【Results】 There were 46 cases (14.4%) of complications in 32 0 cases, of which 41 cases (12.8%) had eyelid exposure and 2 cases had abnormal eyelid position. Other complications included chronic prostatitis , Conjunctival granuloma and so on. Yi Yan stage exposure occurred after 7d ~ 6 months, the range of 2 ~ 15mm. 【Conclusion】 Hydroxyapatite orbital implantation is the most common complication of prosthetic eye exposure. The causes of complications are related to many factors, including the history of preoperative ophthalmopathy, the sclera Exclusion of dissolution, Yi Yi Taiwan’s choice, suture technology, postoperative orbital radiation therapy.