摘要
目的观察羟基磷灰石义眼座加下穹窿成形术治疗眼球摘除后畸形综合征的临床效果。方法对34只眼球摘除后畸形综合征行羟基磷灰石义眼座植入,用后部 tenon 囊包埋义眼座,其中24例找到直肌,10例行皮肤面固定穹窿部结膜,24例将下穹窿结膜缘直接缝合在眶缘的骨膜上,球结膜缺损部分均行唇黏膜移植。结果随诊5～30个月33例手术效果满意,结膜伤口一期愈合,无义眼座暴露,1例结膜囊粘连狭窄。结论通过手术方法的改进,治疗眼球摘除后畸形综合征,手术效果好,减少了并发症,缩短了恢复时间。
Purpose To evaluate the clinical effecte of the insertion of hydroxyapatite orbital implant and plasty of lower fomix on eyes with deformity syndrome after enucleation.Methods Hydroxyapatite orbital implants were inserted in 34 eyes with deformity syndrome after enucleafion and plasty of lower fomix was performed at the same time.The implantation was conducted without finding the rectus muscles in 10 eyes and after finding rectus muscles in 24 eyes.Among the 34 eyes, the conjunctival sac deformity of 24 eyes were corrected by suturing the lower fornical conjunctiva verge on the periusteum of the lower orbital edge,and in the other 10 eyes,the fornical conjunctiva was fixed on the eyelid skin by penetrating suture. Lip mucous membrane grafting was used for all the bulbar conjunefiva inadequacy.Results Follow-up ranged from 5 to 30 months.33 cases were successfully performed clinically with the conjunctiva wound healing at the primary time.Conjunctiva sac stenosis only occured in 1 case.No orbital implant exposure was noted.Conclusion The reformation of the operation method for deformity syndrome after enucleation is successful and effective.It also reduced the postoperative complications and shortened the time of recovery.
出处
《中国眼耳鼻喉科杂志》
2004年第5期310-311,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
