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本文对88例患者采用国产羟基磷灰石(HA)填充球,施行眼球摘除,自体巩膜壳包裹球体的眶内Ⅰ期植入;和14例无眼球患者行Ⅱ期眶内填充术。追踪观察6—36个月,疗效满意,未发现球体脱出、移位,植入球体性能稳定可靠,眼睑饱满,义眼活动良好。随机11例术后1个月以上病例进行单光子发射计算机断层摄影(SPECT),从眼眶断层检查中发现8个月以上者,HA球体放射性分布明显增强,感兴趣区放射性计数比值高于健眼18—44%。以放射性分布图象作为眼窝纤维血管长入HA球体内的依据,说明术后8个月以上者球体可完全血管化。
In this study, 88 patients were treated with domestic hydroxyapatite (HA) -filled balloon, enucleated by enucleation, orbital implantation of scleral shell with orbital sphere, and 14 cases of non-ocular patients underwent intraorbital filling. Follow-up observation of 6-36 months, satisfactory results, did not find the ball prolapse, displacement, implanted ball performance is stable and reliable, full eyelid, eye movement is good. Single-photon emission computed tomography (SPECT) was performed in 11 patients who were randomized for more than 1 month. The radioactivity distributions of HA spheres were significantly increased after more than 8 months from orbital septum examination. The radioactive count ratio in the region of interest was higher than that of the healthy eye 18-44%. To radioactive distribution of images as the orbital fibroids grow into the sphere of the HA ball, indicating that more than 8 months after the ball can be completely vascularized.