頁籤選單縮合
題名 | Lyodura在氫氧磷灰石珊瑚眼窩球植入上的應用=The Use of Lyodura for Implantation of Hydroxyapatite Implant |
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作者 | 廖述朗; 高啟祥; 曾效參; 侯平康; | 書刊名 | 慈濟醫學 |
卷期 | 10:2 1998.06[民87.06] |
頁次 | 頁119-123 |
分類號 | 416.703 |
關鍵詞 | 眼球摘除術; 珊瑚眼窩球; Lyodura; Enucleation; Coralline implant; |
語文 | 中文(Chinese) |
中文摘要 | 氫氧磷灰石珊瑚眼窩球,已為大部分眼科醫師廣泛用於眼球摘除後的眼窩植入物。 一般在珊瑚眼窩球植入前,必須覆蓋捐贈鞏膜以利於此四條眼外肌的附著,並減少珊瑚眼窩 球的暴露。然而,國內捐贈鞏膜常有缺乏而不敷使用的情形,國外報告可使用自體的闊筋膜、 顳筋膜或腹直肌筋膜。本研究嘗試使用Lyodura當眼窩球外覆物。有16個病例使用Lyodura, 經過6個月以上的追蹤發現只有2例有輕微結膜裂開,且後來完全癒合、長好,其他14例 都沒有結膜破孔及珊瑚眼窩球的暴露感染情形。 因此,Lyodura在捐贈鞏膜缺乏時,是珊瑚眼窩球植入覆蓋物很好的代用品。 |
英文摘要 | Coralline hydroxyapatite ocular implants have recently gained wide acceptance among ophthalmologists. Coralline implants are most commonly wrapped in donor sclera before implantation to facilitate placement within the orbit and allow attachment of the extraocular muscles. Autologus temporalis fascia, autologus fascia lata, autologus rectus sheath and vicryl mesh have all been reported as alternatives to sclera, when there is no donor sclera available. In our study, we used lyodura to wrap the coralline implant before insertion into the orbit in 16 enucleated eyes. All but two cases experienced on uncomplicated and well vascularized surface after six months' follow-up. The other two cases which had good conjuncitival dehiscence initially, later healed with good vascularization. In conclusion, lyodura servs as a cheap and reliable alternative for coralline implantation when donor sclera is not available. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。