义眼台植入矫正眼球内容剜除术后上睑凹陷畸形

　　【英文篇名】Implanting hydroxyapatite sphere post-sclerally at the second stage to correct the deformity of anophthalmos after evisceration

　　【作者中文名】马勇光; 王侠; 李健宁; 夏有辰;

　　【作者英文名】Ma Yongguang; Wang Xia; Li Jianning; et al(Department of Plastic Surgery; 3rd School of Clinical Medicine; Beijing Medical University; Beijing 100083);

　　【作者单位】北京医科大学第三临床医学院成形外科;

　　【文献出处】北京医学, BEIJING MEDICAL JOURNAL, 编辑部邮箱 1999年 04期

　　期刊荣誉：中文核心期刊要目总览 ASPT来源刊 CJFD收录刊

　　【关键词】眼球内容剜除术; 羟基磷灰石; 无眼畸形; 巩膜后;

　　【英文关键词】Evisceration; Hydroxyapatite; Anophthalmos; Post-sclera;

　　【摘要】为了Ⅱ期矫正眼球内容剜除术后上睑凹陷畸形，采用羟基磷灰石(简称HA)义眼台巩膜后植入。手术方法：切开球结膜及Tenon氏筋膜，广泛剥离，松解并充分展开残存巩膜，沿内、下直肌和外、上直肌间将巩膜劈为两半，剪断视神经，置HA球于肌锥腔内，分别缝合巩膜后唇、前唇、筋膜和球结膜。21例病人均取得较满意效果。本手术简单、安全、成功率高，配戴义眼后外观满意，活动较佳。

　　【英文摘要】To correct the depression of upper eyelid and anophthalmos after evisceration atthe second stage, hydroxyapatite (HA) sphere was implanted into orbit postsclerally. Operativeprocedure: incision was made on the conjunctiva and Tenon's facia. Afeter wide desection, theremaining sclera was extended and flattened. Then, the sclera was incised into two halvesobliquely between the inner and lower rectus muscles and outer and upper rectus muscles. Aftercutting off the orbital nerve, the HA sphere was placed into t...