CAJ | 학술논문

目的：探讨瘢痕性睑外翻的手术细节的改进及治疗效果。方法回顾我科收治的Ⅱ、Ⅲ度瘢痕性睑外翻患者46例,根据睑外翻的程度和局部情况,选择眼睑部正常皮肤与瘢痕组织交界处设计切口线,尽可能保留和恢复眼轮匝肌结构,松解区域分别超出内外眦处并达眼裂水平,采用全厚皮片游离移植术行睑外翻手术矫正并行睑缘融合,皮片于内外眦韧带处行皮内固定。结果随访6个月至2年,46例眼睑皮片完全存活,眼睑复位良好,无1例眼睑闭合不全。结论适当的选择手术切口线及松解范围,尽可能保留眼轮匝肌的结构完整并对移植皮片在内外眦处进行固定,可以有效预防睑外翻的复发,提升手术效果。
목적：탐토반흔성검외번적수술세절적개진급치료효과。방법회고아과수치적Ⅱ、Ⅲ도반흔성검외번환자46례,근거검외번적정도화국부정황,선택안검부정상피부여반흔조직교계처설계절구선,진가능보류화회복안륜잡기결구,송해구역분별초출내외자처병체안렬수평,채용전후피편유리이식술행검외번수술교정병행검연융합,피편우내외자인대처행피내고정。결과수방6개월지2년,46례안검피편완전존활,안검복위량호,무1례안검폐합불전。결론괄당적선택수술절구선급송해범위,진가능보류안륜잡기적결구완정병대이식피편재내외자처진행고정,가이유효예방검외번적복발,제승수술효과。
Objective To improve the detail of the surgery for cicatricial ectropion,and the the effect was investigated. Methods Based on 46 patients withⅡ,Ⅲdegree cicatricial ectropion admitted to our department,choose the junction of normal skin and scar tissue as the incision line according to the degree of ectropion and local situation,and to reserve and recover the orbicularis oculi muscle as possible. The released areas exceeded separately the external canthus and reached the level of eye fissure,take advantage of full-thickness skin graft to correct the parallel lines and make fixation to the eyelid ectropion fusion skin graft on external canthal ligament. Results After followed up for 6 months to 2 years,46 cases of eyelid skin grafts survived completely and eyelids were in good reduction,with none case of incomplete eyelid closure. Conclusion Choose the surgical incision and the released areas in a proper way to reserve the structural integrity of orbicu-laris muscle and make skin graft fixation to inner and external canthal skin can prevent effectively the recurrence of ectropion and improve surgical progress.