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目的探讨羟基磷灰石肌锥内I期植入的方法,并对其疗效进行评价。方法 68例眼内容剜除和巩膜一分为二切口肌锥内植入羟基磷灰石,随访6-24个月.结果术后外观满意,3例结膜裂开,给予药物治疗10天痊愈,未出现其他并发症。义眼安装后外观逼真、活动度好、双眼外形对称。结论肌锥内羟磷灰石Ⅰ期植入可减少并发症的发生,减轻患者的痛苦和经济负担。手术方法简便,术中不干扰眼外肌及眶脂肪,可在基层医院推广。
Objective To investigate the method of intramedullary I-phase implantation of hydroxyapatite and to evaluate its efficacy. Methods Sixty-eight cases of ocular surface were excised and the sclera was divided into two incisions with hydroxyapatite implantation for 6-24 months.Results Satisfactory appearance after surgery, 3 cases of conjunctival rupture, 10 days after drug treatment were cured, No other complications occurred. Eye after installation look realistic, good activity, symmetrical eyes shape. Conclusions Stage Ⅰ implantation of hydroxyapatite within the muscular cone can reduce the incidence of complications and reduce the suffering and financial burden of patients. The surgical method is simple, does not interfere with extraocular muscle and orbital fat during surgery, can be promoted in primary hospitals.