目的:探讨羟基磷灰石(hydroxyapatite,HA)义眼台植入术的方法和临床疗效。方法:观察62例62眼眼球摘除一期植入HA义眼台患者,采用非包裹义眼台植入方法,术后随访6~24mo,观察术后效果。结果:患者62例均有较好的手术效果,良好54眼(87%),一般8眼(13%)。无HA义眼台排斥、感染、暴露、脱出、移位;无结膜裂开,无眶内感染及上睑下垂现象。结论:HA义眼台是较理想的眶内植入材料,非包裹义眼台植入术手术方法简单,并发症少,是一种较好的手术方法。

·AIM:To investigate the operation methods and clinical effects of hydroxyapatite(HA)orbital implantation.·METHODS:Primary implantations were performed in 62 patients 62 eyes with unpacked HA artificial eye mount.The follow-up period was 6-24 months.All of the cases were observed.·RESULTS:All of the cases got satisfactory therapeutic effects.54 eyes(87%)had good effect,while 8 eyes(13%)had ordinary effect.There were no postoperative complications such as exclusion,infection,exposure,prolapsus,and so on.No conjunctival breach,orbital infection and ptosis occured.·CONCLUSION:HA is an ideal material for orbital implantation.Unpacked HA orbital implantation is a good operation method,which is easy and has less compli-cations.·

R779.64