CAJ | 학술논문

目的探讨应用自体掌长肌腱移植辅助修复中、重度瘢痕性下睑外翻的方法和疗效.方法经患者近侧腕横纹部短小切口切取自体掌长肌腱,长度4～6 cm.将肌腱游离移植于瘢痕松解后显露的患侧睑板前,与内外眦韧带的附着点及睑板做妥善固定,睑外翻矫正后的继发创面用局部皮瓣修复.结果共收治中、重度瘢痕性下睑外翻患者6例共8只眼.术后下睑外翻均获得矫治,随访6～18个月,均无睑外翻复发,无溢泪及角膜裸露症状,眼球与眼睑接触良好,下睑张力无减退,修复效果满意.结论掌长肌腱取材容易,供区无继发功能障碍,移植后上下眼睑对合紧密,睑外翻复发率低,手术效果满意,值得临床推广应用.
목적 탐토응용자체장장기건이식보조수복중、중도반흔성하검외번적방법화료효.방법 경환자근측완횡문부단소절구절취자체장장기건,장도4～6 cm.장기건유리이식우반흔송해후현로적환측검판전,여내외자인대적부착점급검판주타선고정,검외번교정후적계발창면용국부피판수복.결과 공수치중、중도반흔성하검외번환자6례공8지안.술후하검외번균획득교치,수방6～18개월,균무검외번복발,무일루급각막라로증상,안구여안검접촉량호,하검장력무감퇴,수복효과만의.결론 장장기건취재용역,공구무계발공능장애,이식후상하안검대합긴밀,검외번복발솔저,수술효과만의,치득림상추엄응용.
Objective To investigate the method and effect of free autogenous palmaris longus tendon transplantation in the treatment of moderate and severe cicatricial ectropion.Methods The autogenous palmaris longus tendon was obtained through a small lateral proximal wrist band incision (lengths from 4 cm to 6 cm).The graft was properly sutured to the exposed tarsus and the attachments of inner and outer canthus.Local skin flap was rotated to cover the tendon and to repair the wound.Results Six man (8 eyes) with moderate and severe cicatricial ectropion were treated in our department,all case of ectropion were rectified after operation.The eyeballs were well contacted with lower eyelid and no recurrence of eetropion,epiphora and corneal exposure during 6 to 18 months' follow-up.The tension of the lower eyelid was abiding with satisfied effects.Conclusions The palmaris longus tendon is easy to obtain and there is no harm to the donor site.The cicatricial ectropion could be repaired with self-palmaris longus tendon transplantation with lasting effect and the recurrence rate is lower,which is well worthy popularizing.