中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
3期
217-220
,共4页
睑后层缺损%睑内翻%自体睑板-结膜复合瓣%游离移植
瞼後層缺損%瞼內翻%自體瞼闆-結膜複閤瓣%遊離移植
검후층결손%검내번%자체검판-결막복합판%유리이식
Defects posterior layer of eyelid%Entropion%Autologous tarsi-conjunctiva composite lamella%Free grafting
目的 探讨自体睑板结膜复合瓣在睑后层缺损致睑内翻修复中的应用范围,寻求更加稳定的手术效果.方法 各种原因眼部灼伤后睑后层缩短致睑内翻畸形15例(17眼).其中上睑缺损15眼,残存睑板垂直高度均＜6 mm;下睑缺损2眼,残存睑板垂直高度均＜2 mm.均采用自体睑板-结膜复合瓣游离移植术,术后观察游离移植的复合瓣愈合情况及睑缘位置.随访时间6 ～ 26个月,平均(18.7±3.3)月.结果 全部病例术后48 h复合瓣植片与植床贴服良好,色泽淡;1周后复合瓣植片色泽红润,3周后复合瓣部分血管化;6周后复合瓣完全血管化;8 ～ 10周后睑板结膜面光滑.供瓣区无需手术处理,上睑供瓣区瘢痕愈合,下睑供瓣区穹窿部结膜移行愈合.受瓣及供瓣眼睑缘位置正常.1例(1眼)术后仍存有睫毛乱生,辅以电解倒睫后症状缓解.结论 自体睑板-结膜复合瓣在睑后层缺损所致的睑内翻修复中具有较好的应用价值及稳定的手术疗效.
目的 探討自體瞼闆結膜複閤瓣在瞼後層缺損緻瞼內翻脩複中的應用範圍,尋求更加穩定的手術效果.方法 各種原因眼部灼傷後瞼後層縮短緻瞼內翻畸形15例(17眼).其中上瞼缺損15眼,殘存瞼闆垂直高度均＜6 mm;下瞼缺損2眼,殘存瞼闆垂直高度均＜2 mm.均採用自體瞼闆-結膜複閤瓣遊離移植術,術後觀察遊離移植的複閤瓣愈閤情況及瞼緣位置.隨訪時間6 ～ 26箇月,平均(18.7±3.3)月.結果 全部病例術後48 h複閤瓣植片與植床貼服良好,色澤淡;1週後複閤瓣植片色澤紅潤,3週後複閤瓣部分血管化;6週後複閤瓣完全血管化;8 ～ 10週後瞼闆結膜麵光滑.供瓣區無需手術處理,上瞼供瓣區瘢痕愈閤,下瞼供瓣區穹窿部結膜移行愈閤.受瓣及供瓣眼瞼緣位置正常.1例(1眼)術後仍存有睫毛亂生,輔以電解倒睫後癥狀緩解.結論 自體瞼闆-結膜複閤瓣在瞼後層缺損所緻的瞼內翻脩複中具有較好的應用價值及穩定的手術療效.
목적 탐토자체검판결막복합판재검후층결손치검내번수복중적응용범위,심구경가은정적수술효과.방법 각충원인안부작상후검후층축단치검내번기형15례(17안).기중상검결손15안,잔존검판수직고도균＜6 mm;하검결손2안,잔존검판수직고도균＜2 mm.균채용자체검판-결막복합판유리이식술,술후관찰유리이식적복합판유합정황급검연위치.수방시간6 ～ 26개월,평균(18.7±3.3)월.결과 전부병례술후48 h복합판식편여식상첩복량호,색택담;1주후복합판식편색택홍윤,3주후복합판부분혈관화;6주후복합판완전혈관화;8 ～ 10주후검판결막면광활.공판구무수수술처리,상검공판구반흔유합,하검공판구궁륭부결막이행유합.수판급공판안검연위치정상.1례(1안)술후잉존유첩모란생,보이전해도첩후증상완해.결론 자체검판-결막복합판재검후층결손소치적검내번수복중구유교호적응용개치급은정적수술료효.
Objective To investigate the application of the autologous tarsi-conjunctiva composite lamella for rehabilitating entropion resulted from defect in the posterior layer of eyelid,seeking a more stable effect of operation for repairing defect.Methods 17 eyes of 15 cases of entropion caused by posterior layer of eyelid burn injury were enrolled.In which 15 eyes suffered superior eyelid defect with a remain vertical length of eyelid less than 6 mm,2 eyes suffered inferior eyelid defect with a remain vertical length of eyelid less than 2 mm.They were treated by transplantation of autologous tarsi-conjunctiva composite lamella.The healing situation of grafting complex and eyehd position were observed in the follow-up time from 6 to 26 months,with the average of (18.7 ± 3.3) months.Results The composite lamella contected planting bed well with light color manifestation 48 h after operation in all patients.The color turned red in 1 week.The composite lamella partly vascularized in 3 weeks and completely vascularized in 6 weeks ; the surface of tarsiconjunctiva was smooth in 8 to 10 weeks.The providing valve area did not need surgical treatment.The position of eyelid margin were normal.There were random eyelashes growing after surgery in one case and has been relieved by trichiasis electrolysis.Conclusion Autogenous tarsi-conjunctiva composite lamella has a good application value and stable curative effect in rehabilitating defects in the posterior layer of eyelid.
