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我科自 1993年开展羟基磷灰石义眼台植入术以来 ,已完成此类手术 30 0 0余例。由于不断总结经验、改良术式 ,近几年几乎不发生结膜切口裂开。但在开展此手术早期 ,曾有 8例结膜切口裂开 ,其中 1例因修复失败而取出义眼台。随着羟基磷灰石义眼台植入术在全国的开展 ,我院不断接诊自各地转来的羟基磷灰石义眼台植入术后出现并发症的患者 ,其中多为结膜切口裂开 ,共计 2 6例 ,其中有 10例未能修复而取出义眼台 ,其余病例修复成功并配戴义眼。我们认为对小伤口应予足够重视 ,以防发展成大破损或合并感染而致眼台脱出。本文总结了羟基磷灰石义眼台植入术后结膜切口裂开的预防和手术修复经验 ,并对羟基磷灰石义眼台植入术的适应证等做了讨论。
Since our department carried out hydroxyapatite artificial eye implantation in 1993, more than 300 cases of such surgery have been completed. Due to continuous sum up experience, improved surgical procedures, few conjunctival incision rupture in recent years. However, in the early stages of this operation, there were 8 cases of conjunctival incision rupture, 1 case of prosthetic eye removed due to failure to repair. With hydroxyapatite artificial eye implantation in the country, our hospital continue to receive from around the hydroxyapatite artificial eye implantation in patients with complications, most of which are conjunctival incision Open a total of 26 cases, of which 10 cases failed to repair and remove Yiyi Taiwan, the remaining cases were repaired successfully and wearing Yi Yi. We believe that attention should be given to small wounds in order to prevent the development of large damaged or co-infected eyes leading to the prolapse of the eye. This article summarizes the experience of prevention and surgical repair of conjunctival incision after hydroxyapatite implantation and discusses the indications of hydroxyapatite orbital implantation.