中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
1期
58-61
,共4页
羟基磷灰石义眼座%眼内容摘除%病因
羥基燐灰石義眼座%眼內容摘除%病因
간기린회석의안좌%안내용적제%병인
Hydroxyapatite%Evisceration%Pathogeny
目的 分析行眼内容摘除的原因及羟基磷灰石义眼座Ⅰ期植入的效果.方法 眼内容摘除术联合Ⅰ期羟基磷灰石义眼座植入61例.分析眼内容摘除的原因及义眼座植入和义眼片佩戴后的效果.结果 61例中有48例(78.7％)为严重眼外伤,其中10例严重眼球破裂伤、9例外伤后眼内炎、29例严重眼外伤修补术后的并发症或后遗症(眼球萎缩、粘连性角膜白斑)；4例(6.5％)为感染性角膜溃疡；2例(3.3％)为绝对期青光眼；4例(6.5％)为眼部手术后并发症；3例(5％)为角膜葡萄肿.61例中55例(90％)为60岁以下的中青年患者.义眼座植入术后无感染等严重并发症.术后佩戴亲水凝胶软性义眼片者舒适度更好.结论 行眼内容摘除义眼座植入术者主要为严重眼外伤者,尤其是眼球破裂伤者.义眼座植入效果良好.
目的 分析行眼內容摘除的原因及羥基燐灰石義眼座Ⅰ期植入的效果.方法 眼內容摘除術聯閤Ⅰ期羥基燐灰石義眼座植入61例.分析眼內容摘除的原因及義眼座植入和義眼片珮戴後的效果.結果 61例中有48例(78.7％)為嚴重眼外傷,其中10例嚴重眼毬破裂傷、9例外傷後眼內炎、29例嚴重眼外傷脩補術後的併髮癥或後遺癥(眼毬萎縮、粘連性角膜白斑)；4例(6.5％)為感染性角膜潰瘍；2例(3.3％)為絕對期青光眼；4例(6.5％)為眼部手術後併髮癥；3例(5％)為角膜葡萄腫.61例中55例(90％)為60歲以下的中青年患者.義眼座植入術後無感染等嚴重併髮癥.術後珮戴親水凝膠軟性義眼片者舒適度更好.結論 行眼內容摘除義眼座植入術者主要為嚴重眼外傷者,尤其是眼毬破裂傷者.義眼座植入效果良好.
목적 분석행안내용적제적원인급간기린회석의안좌Ⅰ기식입적효과.방법 안내용적제술연합Ⅰ기간기린회석의안좌식입61례.분석안내용적제적원인급의안좌식입화의안편패대후적효과.결과 61례중유48례(78.7％)위엄중안외상,기중10례엄중안구파렬상、9예외상후안내염、29례엄중안외상수보술후적병발증혹후유증(안구위축、점련성각막백반)；4례(6.5％)위감염성각막궤양；2례(3.3％)위절대기청광안；4례(6.5％)위안부수술후병발증；3례(5％)위각막포도종.61례중55례(90％)위60세이하적중청년환자.의안좌식입술후무감염등엄중병발증.술후패대친수응효연성의안편자서괄도경호.결론 행안내용적제의안좌식입술자주요위엄중안외상자,우기시안구파렬상자.의안좌식입효과량호.
Objective To analyze the causes of evisceration,and to study the results and feature of hydroxyapatite(HA)implantation.Methods Retrospectively study the patients underwent the evisceration and with the primary surgery of HA implantation.Results In 61 patients with the operation of evisceration and HA implantation,there were:48(78.7 ％)cases of ocular trauma,such as severe eyeball rupture and endophthalmitis,4(6.5％)cases of infective corneal ulcer,2(3.3％)cases of absolute glaucoma,4(6.5 ％)cases of side-effect of surgery and 3(5％)cases of corneal staphyloma.55 cases were younger than 60 years old.All the patients had good results without severe side effect.Conclusion Most of the patients underwent with evisceration and HA implantation was severe ocular trauma such as the eyeball rupture.The safety during the traffic and working should be emphasized to avoid and reduce the severe ocular trauma.The results of severe ocular trauma should be improved.
