CAJ | 학술논문

目的探讨泪腺脱垂复位并重睑成形治疗泪腺脱垂的临床效果.方法对18例(36眼)泪腺脱垂按照重睑成形术设计手术切口,根据上睑皮肤松弛和眼睑饱满程度决定皮肤及脂肪的去除量,用4-0线褥式缝合泪腺前缘及泪腺筋膜将脱垂的眶部或睑部泪腺分别固定于眶上缘内及眶外侧壁的骨膜上,并将切开的眶隔拉紧加固间断缝合,上睑皮肤以重睑成形方式缝合,外侧皮肤间断缝合.术后随访6个月～3年.结果 17例34眼(94.44％)术后泪腺复位良好,无复发.1例2眼(5.56％)在术后2年轻度复发,但症状较术前明显改善.18例36眼全部双眼睑裂对称,重睑形态良好自然.结论泪腺脱垂复位、眶隔加固并重睑成形术治疗泪腺脱垂效果良好,实现了功能治愈与美容效果的双重目的.
목적 탐토루선탈수복위병중검성형치료루선탈수적림상효과.방법 대18례(36안)루선탈수안조중검성형술설계수술절구,근거상검피부송이화안검포만정도결정피부급지방적거제량,용4-0선욕식봉합루선전연급루선근막장탈수적광부혹검부루선분별고정우광상연내급광외측벽적골막상,병장절개적광격랍긴가고간단봉합,상검피부이중검성형방식봉합,외측피부간단봉합.술후수방6개월～3년.결과 17례34안(94.44％)술후루선복위량호,무복발.1례2안(5.56％)재술후2년경도복발,단증상교술전명현개선.18례36안전부쌍안검렬대칭,중검형태량호자연.결론 루선탈수복위、광격가고병중검성형술치료루선탈수효과량호,실현료공능치유여미용효과적쌍중목적.
Objective To evaluate the clinical effect of the treatment for prolapse of lacrimal gland by reposition of lacrimal gland and blepharoplasty.Methods 36 eyes of 18 patients with prolapse of lacrimal gland were included.To design the operative incision according to blepharoplasty,and acconting to the degree of dermatolysis and satiation of eyelid to decide the removal of the skin and orbital fat.4-0 stitch mattress suture was made at anterior border and aponeurosis d caruncula innominata,prolapsed orbital and palpebral caruncula innominata were fixed on the inside of supraorbital nargin and the periost of lateral orbital wall,respectively.Then the incised orbital septum was tensed and consolidated by interrupted suture.The skin of upper eyelid was sutured by the way of blepharoplasty,and the lateral skin was sutured by interrupted suture.Those cases were followed up for 6 nonths to 3 years.Results The reposition of caruncula innominata were very well after surgery in 34 eyes of 17 cases with no recurrence.2 eyes in 1 case recurrd lightly 2 years after surgery,but the complaint relieved obviously compared with preoperative position.In 18 cases(36 eyes),fissura palpebrae of both eyes were symmetric,the appearance of double eyelid was satisfactory and natural.Conclusion The effect of the treatment for prolapse of lacrimal gland by combined the reposition of dislocated lacrimal gland with strengthening orbital septum and blepharoplasty was safe,with function cure and cosfmeric result.