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目的探讨Ⅱ期义眼座植入联合保存羊膜移植治疗眼球摘除和眼内容物剜除术后眼窝内陷伴结膜囊狭窄的手术方法及临床效果。方法对2001年4月至2004年4月收治32例眼内容物剜除术后(A组)和24例眼球摘除术后(B组)眼窝内陷结膜囊狭窄患者共56例行Ⅱ期义眼座植入联合保存羊膜移植手术。观察术后眼窝内陷矫正、结膜囊成形情况,义眼座活动度、有无眼座外露、感染,义眼配戴情况。随访10-18月。结果术后所有患者眼窝内陷明显好转,结膜囊成形良好,穹窿深浅正常,义眼配戴后无脱落,义眼活动度水平方向>5mm,垂直方向>3mm,A组30例(93.75%),B组10例(41.67%)两组比较,差异有显著性(P<0.05)。配戴义眼片3月后复诊B组2例(8.33%)出现义眼座外露。论结Ⅱ期义眼座植入联合保存羊膜移植是目前治疗眼球摘除术后出现眼窝内陷、结膜囊狭窄的理想方法。
Objective To investigate the operative methods and clinical effects of secondary orbital implantation combined with amniotic membrane transplantation in the treatment of enophthalmos and intraocular neovascularization with conjunctival sac stenosis after enucleation of ocular contents. Methods From April 2001 to April 2004, a total of 56 patients with subconjunctival otoconjunctival stenosis were enrolled in this study. Twenty-two patients undergoing ocular deconstruction (group A) and 24 patients undergoing enucleation (group B) Orbital implantation combined with preservation of amniotic membrane transplantation. Observed after correction of orbital socket, conjunctival sac shape, orbital activity, with or without pedestal exposed, infection, eye wear. Follow-up 10-18 months. Results After operation, all patients received orbital retraction significantly improved, the conjunctival sac formed well, the dome was normal, and there was no loss after prosthetic eye wear. The level of eye movement was> 5mm in the horizontal direction and> 3mm in the vertical direction. A group of 30 patients (93.75%), , 10 cases in group B (41.67%), the difference was significant (P <0.05). After wearing prosthetic eye pieces in March, 2 cases (8.33%) of referral group B had eye socket exposed. Conclusion â ... ¡â ... â ... ¡â ... â ... ¡occipital implantation combined with the preservation of amniotic membrane transplantation is the treatment of ocular retraction after eye socket or conjunctival stenosis ideal method.