义眼台植入术后并发症的临床分析及处理

摘要

Objective To discuss the cause, managment and prevention of the postoperative complications of orbital implantation by clinical case analysis, and to provide reference for the future clinical work. Methods 175 cases of orbital implantation from Aug. 2011 to Aug. 2013 were retrospectively analyzed in our department. The postoperative complications occurrence, related symptomatic treatment, and the reasons of complications were analyzed. Results Complications occurred in 175 cases of 9 cases(5. 14%),including 4 cases of the con-junctival cyst (2.29%),3 cases of orbital implants exposure(1.71%),1 case of orbital chronic infection(0.57%)and 1 case of subcon-junctival tissue atrophy(0. 57%). All of them had obtained good curative through cyst excision or orbital implanting again after the active treatment. There were no complication occurred again. Conclusion 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发生原因、对症处理及相关预防方法。方法回顾性分析2011年8月至2013年8月在我科行Ⅰ期或Ⅱ期义眼台植入术的175例临床病例，统计术后并发症发生情况及处理方法，分析并发症发生原因。结果175例患者发生并发症者9例(5.14%)，其中结膜下囊肿4例(2.29%)，义眼台暴露者3例(1.71%)，义眼台慢性感染1例(0.57%)，结膜下组织萎缩1例(0.57%)，分别给予囊肿切除、义眼台取出再植入等积极处理，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。