CAJ | 학술논문

目的探讨颞浅动脉岛状皮瓣一次性修复感染性义眼座大面积暴露的方法和效果.方法新疆职业病医院眼科6例(6眼)义眼座暴露直径＞10 mm或合并感染的回顾性分析.结果经过局部贯穿并冲洗控制感染,取同侧颞浅动脉岛状皮瓣,植入义眼一次性修复大面积结膜囊缺损,6例全部成活,皮瓣血供稳定,耐磨性良好,与结膜囊内组织愈合平整.安装义眼各象限活动自如.术后2例出现毛发过长,需修剪,未见其它术后并发症,随访1～5年,手术效果良好.结论局部有效抗炎结合颞浅动脉岛状皮瓣,一次性修复严重义眼座暴露合并感染,是可行有效的手术方式.
목적 탐토섭천동맥도상피판일차성수복감염성의안좌대면적폭로적방법화효과.방법 신강직업병의원안과6례(6안)의안좌폭로직경＞10 mm혹합병감염적회고성분석.결과 경과국부관천병충세공제감염,취동측섭천동맥도상피판,식입의안일차성수복대면적결막낭결손,6례전부성활,피판혈공은정,내마성량호,여결막낭내조직유합평정.안장의안각상한활동자여.술후2례출현모발과장,수수전,미견기타술후병발증,수방1～5년,수술효과량호.결론 국부유효항염결합섭천동맥도상피판,일차성수복엄중의안좌폭로합병감염,시가행유효적수술방식.
Objective To discuss the method and efficacy of repairment of large severely infectious orbital implants exposure with superficial temporal artery island flaps.Methods To analyse retrospectively the clinical data in ophthalmology department of Xinjiang Hospital of Occupational Disease:6 eyes from 6 cases,with exposure of diameters over 10 mm or concurrent infections in orbital implants.Results After partial penetration and flush for infection control,the patient' s ipsilateral superficial temporal artery island flaps were implanted into the ocular prosthesis to repair the large defect of the conjunctiva sac all at once.All the flaps of 6 cases survived,with stable blood supply,good wear resistance and smooth union with the conjunctiva sac tissues.The ocular prosthesis moved smoothly in all quadrants.Except for the long hair after surgery in 2 cases,no other postoperative complications appeared in the follow-up of 1 to 5 years,with good effect of the treatment.Conclusion The effective partial anti-inflammatory therapy,combined with the superficial temporal artery island flap,is a feasible and effective surgery procedure to repair severe ocular prosthesis exposure and the co-infection.