CAJ | 학술논문

目的比较和评价羟基磷灰石义眼座置入Ⅰ期与Ⅱ期钻孔放置钛钉的效果.方法对89例眼球摘除行羟基磷灰石义眼座置入手术的患者随机分成A、B两组,分别进行Ⅰ期或置入6个月后行Ⅱ期钻孔放置钛钉手术,观察术后水肿疼痛等早期反应、术后外观、义眼的活动度及义眼座外露、钛钉偏斜、钛钉脱出等并发症.结果 A、B两组患者术后义眼的最大活动度分别为44.97.和45.34.,钛钉偏斜的发生率分别为4.2%和7.3%,两组比较差异无统计学意义.经1年随访,两组均无眼座外露,继发感染、钛钉脱出等并发症发生.在第1期手术后的早期反应也无显著性差异,第Ⅱ期手术后A组手术反应明显轻于B组.结论羟基磷灰石义眼座置入同期钻孔手术是一种简单、安全、方便、疗效确切的手术方法,在羟幕磷灰石义眼座Ⅰ期置入同时钻孔手术值得推广.
목적 비교화평개간기린회석의안좌치입Ⅰ기여Ⅱ기찬공방치태정적효과.방법 대89례안구적제행간기린회석의안좌치입수술적환자수궤분성A、B량조,분별진행Ⅰ기혹치입6개월후행Ⅱ기찬공방치태정수술,관찰술후수종동통등조기반응、술후외관、의안적활동도급의안좌외로、태정편사、태정탈출등병발증.결과 A、B량조환자술후의안적최대활동도분별위44.97.화45.34.,태정편사적발생솔분별위4.2%화7.3%,량조비교차이무통계학의의.경1년수방,량조균무안좌외로,계발감염、태정탈출등병발증발생.재제1기수술후적조기반응야무현저성차이,제Ⅱ기수술후A조수술반응명현경우B조.결론 간기린회석의안좌치입동기찬공수술시일충간단、안전、방편、료효학절적수술방법,재간막린회석의안좌Ⅰ기치입동시찬공수술치득추엄.
Objective To evaluate the clinical effect of the procedure that involves drilling and inserting a motility peg at the time of hydroxyapatite orbital implant.Methods 89 patients who needed hydroxyapatite orbital implant were divided into groups A and B.The patients in group A were drilled and inserted a motility titanium peg when hydroxyapatite implantation.The patients in group B were drilled and inserted a motility titanium peg 6 months after hydroxyapatite implantation.Data were recorded.including the rate of postoperative pain and conjunctive edema,postoperative facial appearance,motility of the artifieial eye,the rate of hydroxyapatite exposure,excursion and extrusion of titanium peg and other complications.Results The mobility of the prosthesis was 44.97%in group A,and 45.34%in group B.There was no difference in appearance and the motility of their artificial eye between the two groups.The rate of excursion of titanium peg was 4.2% in group A and 7.3%in group B and no statistical difference was found between the two groups.There were no prosthesis exposure,extrusion of titanium peg,secondary infeetion and other complication in one-year follow-up.There were no difference in the rate of postoperative pain and eonjunctive edema in first operative stage.The postoperative reaction in group A was lighter than that in group B in secondary operanve stage.Conclusion The hydroxyapatite orbital implant primary procedure drilling is simple,safe,convenient and effective.It is worth to recommend that procedure that involves drilling and inserting a motility peg at the time of hydroxyapatite orbitaI primary implant.