CAJ | 학술논문

目的：探讨面部严重烧伤后导致不同程度瘢痕性睑外翻的修复方法。方法：对20例烧伤后不同程度的瘢痕性睑外翻，采用内眦血管蒂鼻唇沟皮瓣、眼轮匝肌皮瓣修复及瘢痕松解植皮修复。结果：皮片局部皮瓣均一期成活，1例返流轴型耳后岛状皮瓣术后皮瓣远端出现表皮坏死，经换药后创面愈合。随访3～10月，眼睑外翻均得到充分矫正，效果良好。结论：瘢痕性睑外翻病情复杂多样，须根据具体情况采用恰当方法，可取得良好效果。
목적：탐토면부엄중소상후도치불동정도반흔성검외번적수복방법。방법：대20례소상후불동정도적반흔성검외번，채용내자혈관체비진구피판、안륜잡기피판수복급반흔송해식피수복。결과：피편국부피판균일기성활，1례반류축형이후도상피판술후피판원단출현표피배사，경환약후창면유합。수방3～10월，안검외번균득도충분교정，효과량호。결론：반흔성검외번병정복잡다양，수근거구체정황채용흡당방법，가취득량호효과。
Objective:To investigate rational methods to repair different type of cicatricial ectropion .Methods:20 patients with different type and degree of cicatricial ectropion were repaired with the method of simple skin grafting,nasolabial groove skin flap pedicled with inner canthus vessels,posterior auricular refluxing axial skin flap or musculus dormitator skin flap.Results:After 3-6 months follow—up observation all patients got good repaired effects.Necrobiosis occurred in distal skin flap of one patient with posterior auricular refluxing axial skin flap method.Conclusion:Cicatricial ectropion was complicated.Appropriate method should be applied to different cicatricial ectropion to achieve good results.