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目的回顾和评价羟基磷灰石(HA)义眼座的临床应用。方法对外伤致失明或萎缩眼球采用(HA)义眼座Ⅰ期或Ⅱ期植入眼眶肌椎内。其中采用眼球摘除后HA义眼座植入11例。采用眼内容物剜除后自体巩膜包裹HA义眼座Ⅰ期植入4例。结果15例眼中植入成功15例,均获得满意的外眼外观康复效果。结论HA是一种理想的眼眶内填充物。保留或不保留自体巩膜多层覆盖HA义眼座眶内植入,可以明显地改善眼球摘除或眼内容物剜除术后眼窝塌陷畸形,提高患者的生活质量。该方法安全简便,无严重并发症发生,可在基层医院开展。
Objective To review and evaluate the clinical application of hydroxyapatite (HA) Methods Traumatic or traumatic eye loss caused by traumatic injury (HA) phacoemulsification stage I or II implanted intraorbital muscle. Among them, HA enucleation was performed in 11 cases after enucleation. After ocular contents were excised, 4 cases were implanted with HA scleral plexus HA. Results Fifteen cases were successfully implanted in the eyes, all of which achieved satisfactory external eye appearance rehabilitation. Conclusion HA is an ideal orbital filler. Retaining or not preserving the autosomal sclera multilayered HA phalanx orbital implants can significantly improve the quality of life of patients with or without eyeball removal or ocular contents mastectomy. The method is safe and easy, without serious complications, can be carried out in primary hospitals.