CAJ | 학술논문

目的：探讨一种简单有效、术后切口较隐蔽、瘢痕较小的内眦赘皮矫正方法。方法将双侧单睑伴内眦赘皮80例患者分为A、B、C 3组,A组25例50只眼采用“Z”成形术矫正内眦赘皮,B组25例50只眼采用传统“Y-V”成形术矫正内眦赘皮,C组30例60只眼采用改良“Y-V”成形术矫正内眦赘皮,观察3种术式的疗效。结果3组患者均随访6~24个月,A组25例外观明显改善,其中2例单侧复发,8例术后瘢痕较明显；B组采用传统“Y-V”成形内眦赘皮矫正及同期行小切口重睑成形术,术后虽眼睑外形自然,但随访25例患者其中12例瘢痕较明显；C组采用改良“Y-V”成形术矫正内眦赘皮,通过随访发现术后无1例出现增生性瘢痕。结论三种术式对治疗内眦赘皮均有效果,但总结发现采用A、B组治疗内眦赘皮的设计方法较为复杂,术后瘢痕增生明显,C组小切口重睑术结合改良“Y-V”成形内眦开大术矫正效果好,方法简单,术后切口隐蔽,形态良好,瘢痕增生不明显。
목적：탐토일충간단유효、술후절구교은폐、반흔교소적내자췌피교정방법。방법장쌍측단검반내자췌피80례환자분위A、B、C 3조,A조25례50지안채용“Z”성형술교정내자췌피,B조25례50지안채용전통“Y-V”성형술교정내자췌피,C조30례60지안채용개량“Y-V”성형술교정내자췌피,관찰3충술식적료효。결과3조환자균수방6~24개월,A조25예외관명현개선,기중2례단측복발,8례술후반흔교명현；B조채용전통“Y-V”성형내자췌피교정급동기행소절구중검성형술,술후수안검외형자연,단수방25례환자기중12례반흔교명현；C조채용개량“Y-V”성형술교정내자췌피,통과수방발현술후무1례출현증생성반흔。결론삼충술식대치료내자췌피균유효과,단총결발현채용A、B조치료내자췌피적설계방법교위복잡,술후반흔증생명현,C조소절구중검술결합개량“Y-V”성형내자개대술교정효과호,방법간단,술후절구은폐,형태량호,반흔증생불명현。
Objective To explore an effective and hidden incision scar method for epicanthus correction. Methods 80 patients of bi-lateral single eyelid with epicanthus were divided into group A,group B and group C. Twenty-five patients with 50 eyes of group A received“Z” plasty correction of epicanthus,25 cases with 50 eyes of group B received the traditional“Y-V” plasty correction of epicanthus,30 cases with 60 eyes of group C treated with modified “Y-V” plasty correction of epicanthus. The curative effective was observed. Results Three groups were followed up for 6~24 months, the appearances of 25 patients in group A were significantly improved,of whom 2 cases had uni-lateral recurrence,8 cases with obvious postoperative scar. The eyelid shapes of patients in group B were natural after surgery,12 cases with obvious scar. all patients in group C were found no postoperative hypertrophic scars. Conclusion The three surgical treatment were effec-tive for epicanthus,but the design approaches of“Z” plasty correction and“Y-V” plasty correction are more complex,and postoperative scar is obvious,meanwhile the modified “Y-V” plasty correction is simple with incision hidden good shape scar formation.