心脏涤纶补片矫正义眼台植入后的结膜囊畸形

发布时间：2018-05-06 18:27

本文选题：义眼台 + 结膜囊畸形　；参考：《南方医科大学学报》2017年10期

【摘要】：目的寻找替代自体皮肤移植矫正义眼台植入术后结膜囊畸形的材料,避免供皮区的创伤,减少结膜囊挛缩。方法我科2012年6月~2016年6月收治已植入义眼台结膜囊畸形患者12例,包括3例义眼台暴露并结膜囊狭窄患者;在狭窄结膜囊中央切开结膜及浅层筋膜,于浅层筋膜下分离结膜及浅层筋膜与义眼台表面筋膜组织粘连,分离至眶缘。制作大小合适的心脏涤纶补片,覆盖于结膜囊中央结膜缺损暴露区,补片周边固定于眶缘骨膜,结膜及浅层筋膜边缘固定于穹窿底部心脏涤纶补片上,结膜囊内植入隔膜,永久睑缘粘连。结果 8例术后3月分离睑缘粘连后植入义眼,2例行再次下穹窿成形术后植入义眼,外观均得到明显改善;2例心脏涤纶补片排斥并感染去除后应用自体全厚皮片行全结膜囊再造成功。结论心脏涤纶补片是修复义眼台植入后无眼球结膜囊畸形及义眼台暴露的理想材料,但不宜用于重度结膜囊狭窄或结膜囊闭锁患者。
[Abstract]:Objective to find a substitute for autologous skin graft for correction of conjunctival sac deformity after orthodontic implant surgery in order to avoid the trauma of the skin donor area and reduce the contracture of conjunctival sac. Methods 12 patients with conjunctival sac deformity implanted in the prosthesis were treated in June June 2012 ~2016, including 3 cases of prosthetic eye exposure and conjunctival sac stenosis, and central incision in the narrow conjunctival sac. The conjunctiva and superficial fascia were separated from the superficial fascia and the superficial fascia and the surface fascia of the prosthetic eye, and separated to the orbital margin. The proper size of the heart Dacron patch was made to cover the central conjunctival defect exposure area of the conjunctival sac. The patch was fixed to the periosteum of the orbital margin, and the conjunctiva and the superficial fascia were fixed to the heart of the fornix. On the Dacron patch, the septum was implanted in the conjunctival sac and permanent conglutination was implanted in the conjunctival sac. Results 8 cases were implanted into the prosthesis after the separation of the palpebral margin in March. 2 cases were implanted with the prosthetic eye after the reconstruction of the lower fornix, and the appearance was obviously improved. 2 cases of heart Dacron patch repulsion and infection were removed and the whole conjunctival sac was successful. Conclusion the heart is successful. The Dacron patch is an ideal material for repairing the deformity of the conjunctival sac and the exposure of the prosthesis, but it is not suitable for the patients with severe conjunctival sac stenosis or conjunctival atresia.

【作者单位】：南方医科大学南方医院眼科;南方医科大学南方医院内分泌科;
【基金】：广东省科技计划项目(2013B022000065)
【分类号】：R779.6

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