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目的探讨巩膜包裹和巩膜后肌锥植入2种不同手术方式I期植入羟基磷灰石(HA)义眼座进行手术方式及其术后常见并发症。方法34例患者随机按就诊先后秩序分为对照组13例(13眼)采用巩膜包裹法植入HA义眼座,观察组21例(21眼)采用巩膜后肌锥植入法植入HA义眼座。结果随访3~24个月,对照组中2例伤口裂开,移植唇黏膜及羊膜后愈合,1例术后3个月义眼座暴露,2例水平运动不足(<10°)。观察组中水平运动不足2例,未发现结膜裂开和义眼座暴露现象。结论I期羟基磷灰石义眼座植入手术中巩膜后肌锥植入法优于巩膜包裹法植入。
Objective To investigate the operative methods and common postoperative complications of two kinds of surgical implantation of hydroxyapatite (HA) posterior scleral entrapment and posterior scleral muscular conization. Methods Thirty-four patients were randomly divided into control group (13 eyes) and control group (n = 11). Eighteen cases of HA eyelid were implanted by scleral wrapping method. 21 cases (21 eyes) Eye seat. Results The patients were followed up for 3-24 months. In the control group, 2 cases of wound dehiscence, lip mucosa and amniotic membrane healed. One case was exposed at 3 months after operation, and 2 cases had insufficient exercise (<10 °). Observation group, the lack of horizontal motion in 2 cases, no conjunctival rupture and prosthetic socket exposure. Conclusion Stage I hydroxyapatite orbital implantation surgery in the sclera posterior myosubic implantation method is better than the scleral graft method.