CAJ | 학술논문

目的了解同种异体脱细胞真皮应用于羟基磷灰石(HA)义眼台植入术后暴露的修复治疗的有效性和安全性.方法对2010～2013年在济南市明水眼科医院就诊的13例(13只眼)HA义眼台暴露患者术中探查,初步判断HA义眼台植入术式及暴露的原因,应用脱细胞真皮覆盖的方法进行处理.结果 13例患者术后结膜血运良好,无明显水肿及渗出,无切口哆开、感染等并发症.连续观察10个月,未见暴露复发迹象.结论脱细胞真皮材料容易获得,组织相容性好,抗感染能力强,有一定的柔韧性,引起的免疫反应轻微,作为一种细胞外基质,可引导自身组织的胶原纤维长入,对创面要求低易于成活.对修复HA义眼台植入术后眼台暴露是一种较好的材料.
목적 료해동충이체탈세포진피응용우간기린회석(HA)의안태식입술후폭로적수복치료적유효성화안전성.방법 대2010～2013년재제남시명수안과의원취진적13례(13지안)HA의안태폭로환자술중탐사,초보판단HA의안태식입술식급폭로적원인,응용탈세포진피복개적방법진행처리.결과 13례환자술후결막혈운량호,무명현수종급삼출,무절구치개、감염등병발증.련속관찰10개월,미견폭로복발적상.결론 탈세포진피재료용역획득,조직상용성호,항감염능력강,유일정적유인성,인기적면역반응경미,작위일충세포외기질,가인도자신조직적효원섬유장입,대창면요구저역우성활.대수복HA의안태식입술후안태폭로시일충교호적재료.
Objective To understand the security and effectiveness of using homologous acellular dermal as repairing material in the exposure of orbital hydroxyapatite (HA) implants.Methods By 13 cases (13 eyes) hydroxyapatite implant exposure with intraoperative exploration,to initially judge implantation methods and exposure reasons of orbital implants,and using homologous acellular dermal as repairing material.Results Thirteen cases of postoperative conjunctival blood supply were good,no obvious edema and exudation,no incision dehiscence,infection and other complications.In continuous observation of 10 months,no evidence of exposure recurred.Conclusions Acellular dermal material is readily available,and has good tissue compatibility,resistance to infection,certain flexibility,and the immune response induced is light.Acellular dermal as a extracellular matrix can guide the organization's own collagen fibers ingrowth,and is easy to survive.For the repair of HA orbital implants after implant exposure is a good material.