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[摘要]
目的：探讨用羊膜包裹羟基磷灰石复合材料修复爆裂性眼眶壁骨折的手术效果及软组织损伤粘连的预防作用。
方法：选自我院2008-10/2012-10收治爆裂性眼眶壁骨折32例，用羊膜包裹羟基磷灰石复合材料修复眶壁骨折治疗复视和眼球内陷。
结果：术后随访6mo～1a，复视改善率95%，眼球内陷治愈率91%，植入物无一例排斥。
结论：眼眶壁骨折所致复视、眼球内陷采用羊膜包裹羟基磷灰石复合材料手术治疗，愈合快、无粘连、效果确切、安全有效。
[Key word]
[Abstract]
AIM: To explore the effects of the operation of bursting orbital fracture with amniotic composites of hydroxyapatite and discuss the importance of preventing adhesion of soft tissue injury.
METHODS: There were 32 cases of bursting orbital fracture in our hospital from October, 2008 to October, 2012. Using amnion to wrap composite of hydroxyapatite to repair fracture of orbital wall and correct diplopia and enophthalmos.
RESULTS: We succeeded with the correction rate of diplopia at 95% and the cure rate of enophthalmos at 91% and no implants rejection 6-12 months after the operation.
CONCLUSION: It is effective and safe to cure diplopia and enophthalmos by orbital fracture with the method of amniotic composites of hydroxyapatite. There is no adhesion and it takes the patients a short time to recover.
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