| 竺 慧,陈 琴,张 娇,宋清露.采用医用胶粘合巩膜片与义眼台前表面手术方法的临床观察[J].南京医科大学学报,2020,(12):1839~1843 |
| 采用医用胶粘合巩膜片与义眼台前表面手术方法的临床观察 |
| Clinical observation of surgical method using medical glue to bond sclera and anterior surface of the hydroxyapatite prosthetic implant |
| 投稿时间：2020-06-13 |
| DOI：10.7655/NYDXBNS20201219 |
| 中文关键词: 巩膜片 羟基磷灰石义眼台 义眼台植入术 医用胶 |
| 英文关键词: sclera hydroxyapatite prosthetic implant orbital implantation medical glue |
| 基金项目:国家自然科学基金面上项目（81970800） |
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| 中文摘要: |
| 目的：研究采用医用胶将巩膜片与羟基磷灰石义眼台前表面粘合后行义眼台植入术的有效性与安全性。方法：对16例采用医用胶行Ⅰ期或Ⅱ期义眼台植入术的患者长期随访观察有无术后并发症、眼部外观、眼窝饱满度等情况。测量义眼台活动度，问卷调查患者满意度。结果：所有患者均为Ⅰ期愈合，无义眼台暴露等术后并发症，佩戴义眼片后眼窝饱满、外观自然逼真、双眼基本对称。71.9%患者义眼台活动度好，81.3%患者对外观满意，75.0%患者自觉义眼片佩戴舒适。结论：采用医用胶粘合巩膜片与义眼台前表面的手术方法可简化手术操作，降低义眼台暴露风险，并在术后获得良好的义眼台活动度和患者满意度。 |
| 英文摘要: |
| Objective：This study aims to evaluate the effectiveness and safety of orbital implantation after using medical glue to bond the sclera to the anterior surface of the hydroxyapatite prosthetic implant. Methods：Total 16 patients underwent stage Ⅰ or stage Ⅱ artificial orbital implantation using medical glue were followed up for long?term observations of postoperative complications，eye appearance，and eye socket fullness. The mobility of the prosthetic implant was measured，and the patient satisfaction was questionnaire. Results：All patients had stage Ⅰ healing without postoperative complications such as prosthetic ocular exposure. After wearing the prosthetic tablets，the eye sockets were full，the appearance was natural and realistic，and the eyes were basically symmetrical. And 71.9% of patients had good prosthetic implant mobility，81.3% of patients were satisfied with their appearance，and 75.0% of patients felt comfortable wearing prosthetic tablets. Conclusion：The surgical method of using medical glue to bond the sclera and the front surface of the hydroxyapatite prosthetic implant can simplify the operation and reduce the exposure risk of the artificial orbital implantation. After surgery，good prosthetic orbital implantation mobility and patient satisfaction can be obtained. |
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