摘要目的 评价脱细胞牛心包补片在Ⅱ期羟基磷灰石义眼台植入术中的临床效果及安全性.方法 应用脱细胞牛心包补片覆盖于羟基磷灰石义眼台表面,行Ⅱ期眶内植入46例(46眼),随访观察6~24个月,分析评价其效果.结果 46例中的43例(93.48%)Ⅰ期愈合,3例术后球结膜和眼球筋膜局部愈合不良,经保守治疗后均愈合.随访期末无义眼台暴露、脱位或感染等现象发生.结论 脱细胞牛心包补片是包裹羟基磷灰石义眼台眶内植入的自体或异体组织的最佳替代物.

abstractsObjective To evaluate the clinical efficacy and safety of application of acellular bovine pericardium patch in secondary hydroxyapatite prosthesis implantation.Methods The hydroxyapatite prosthesis were implanted wrapped with acellular bovine pericardium patch in 46 eyes of 46 cases.All patients were followed up for 6-24 months.The efficacy of surgery was evaluated and analyzed.Results In 46 cases, 43 cases (93.48%) were primary healing.Poor healing of bulbar conjunctival and Tenon capsule occurred in 3 cases.They were healed after conservative treatment.At the end of follow-up, no prosthesis exposure, immigration or inflammation occurred.Conclusion Acellular bovine pericardium patch is the best substitute of autologous or allogeneic tissue used in implantation to wrap the prosthesis.