义眼台植入术后并发症的临床分析和处理

摘要

AIM:To study the classification,cause and management of the complications associated with orbital implantation.Methods:In this retro-spective case series,the 37 cases with orbital implantation and postoperative complications in our deparment between 2010-2016 were claimed.The postoperative complications occurrence,related symptomatic treatment,and the reasons of complications were analyzed.Results:Artificial eye pedestal exposure,migration,contracted conjunctival sac etc.were observed.The satisfactoty results were obtained after management.Conclusion:The classifi-cation and cause of the complications are not single.The postoperative complications should be positively analyzed,and early positive precaution could reduce most of the complications.%目的：探讨义眼台植入术后并发症的类型、发生原因及对症处理措施。方法：对2010年1月至2016年8月就诊于我科的义眼台植入术后并发症患者进行回顾性分析，统计并发症的类型及处理方法，分析并发症发生原因。结果：共有义眼台暴露、结膜囊狭窄、上睑下垂、义眼台移位伴上睑区凹陷、结膜肉芽肿及眶内迟发性出血6种并发症，分别给予义眼台暴露修补或义眼台取出再植入、结膜囊成形、上睑下垂矫正、羟基磷灰石骨板眶下壁骨膜下填充等积极处理，均获得较好疗效，随访未再次发生并发症。结论：义眼台植入术后并发症的类型及原因多种多样，发生并发症应积极分析处理，早期预防能减少并发症的发生。