CAJ | 학술논문

目的观察自创的带直肌止点处小巩膜瓣下羟基磷灰石(HA)义眼台植入术的临床效果.方法用自创方法行义眼台植入术296例(296只眼),随机对其中32例(32只眼)进行眼眶增强MRI检查以观察术后1周、1、2、3、4、5、6及18个月义眼台血管化进程.结果所有病例随访1 ～18个月,义眼台活动良好,无义眼台外露发生.增强MRI检查显示义眼台于术后1个月即完全血管化,随着时间进展,血管化密度逐渐增大.结论作者自创的带直肌止点区域小巩膜瓣下HA义眼台植入术,彻底解决了HA义眼台植入术外露的问题,促进义眼台血管化的优势明显,具有良好的使用前景.
목적 관찰자창적대직기지점처소공막판하간기린회석(HA)의안태식입술적림상효과.방법 용자창방법행의안태식입술296례(296지안),수궤대기중32례(32지안)진행안광증강MRI검사이관찰술후1주、1、2、3、4、5、6급18개월의안태혈관화진정.결과 소유병례수방1 ～18개월,의안태활동량호,무의안태외로발생.증강MRI검사현시의안태우술후1개월즉완전혈관화,수착시간진전,혈관화밀도축점증대.결론 작자자창적대직기지점구역소공막판하HA의안태식입술,철저해결료HA의안태식입술외로적문제,촉진의안태혈관화적우세명현,구유량호적사용전경.
Objective To observe the clinical efficacy of orbital implantation with original hydroxyapatite (HA) orbital implant covered with small autoscleral flap at extraocular rectus muscles insertions area which was designed by the author.Methods Thirty-two cases were randomly selected from a total of 296 patients who were treated with the original hydroxyapatite implantation method.Serial precontrast and postcontrast T1-weighted magnetic resonance imaging (MRI) were obtained at 1 week,1,2,3,4,5,6 and 18 months after implantation to assess the fibrovascularization of HA orbital implants.Results Patients were followed up for 1to18 months.In all cases HAs were fixed to orbit and moved well.There was no complication of prostheses exposure.Contrast-enhanced MRI showed the HA spheres had achieved complete vascularization 1 month after implantation.The vascularization density increased with time.Conclusion The author' s original hydroxyapatite orbital implantation covered with small autoscleral flap with extraocular rectus muscles method completely solves the problem of prostheses exposure complication and its advantage of promoting the fibrovascularization is obvious.The application prospect is good.