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
2015年
9期
662-666
,共5页
左兰%程建霞%黄鑫宇%杜园园
左蘭%程建霞%黃鑫宇%杜園園
좌란%정건하%황흠우%두완완
眼睑%撕裂伤,严重性%修复术
眼瞼%撕裂傷,嚴重性%脩複術
안검%시렬상,엄중성%수복술
Eyelid%Laceration,severe%Neoplasty
目的 探讨眼睑严重撕裂伤的临床特点、处理要点及手术技巧.方法 眼睑严重撕裂伤但不伴眼睑组织缺损者210例(264眼),严格判断损伤范围及性质后,在手术显微镜下清创,组织复位,逐层对位缝合.结果 术后随诊1年,除1例上睑提肌断裂者出现轻度上睑下垂及l例内眦韧带断裂者形成内眦畸形外,余208例(262眼,99.24％)术后恢复良好,无眼睑畸形,无明显瘢痕,无睑裂闭合不全.结论 对于处理眼睑严重撕裂伤采取手术显微镜下仔细清创,组织复位,逐层对位缝合的方法可有效恢复眼睑正常功能及形态,达到最佳修复效果.
目的 探討眼瞼嚴重撕裂傷的臨床特點、處理要點及手術技巧.方法 眼瞼嚴重撕裂傷但不伴眼瞼組織缺損者210例(264眼),嚴格判斷損傷範圍及性質後,在手術顯微鏡下清創,組織複位,逐層對位縫閤.結果 術後隨診1年,除1例上瞼提肌斷裂者齣現輕度上瞼下垂及l例內眥韌帶斷裂者形成內眥畸形外,餘208例(262眼,99.24％)術後恢複良好,無眼瞼畸形,無明顯瘢痕,無瞼裂閉閤不全.結論 對于處理眼瞼嚴重撕裂傷採取手術顯微鏡下仔細清創,組織複位,逐層對位縫閤的方法可有效恢複眼瞼正常功能及形態,達到最佳脩複效果.
목적 탐토안검엄중시렬상적림상특점、처리요점급수술기교.방법 안검엄중시렬상단불반안검조직결손자210례(264안),엄격판단손상범위급성질후,재수술현미경하청창,조직복위,축층대위봉합.결과 술후수진1년,제1례상검제기단렬자출현경도상검하수급l례내자인대단렬자형성내자기형외,여208례(262안,99.24％)술후회복량호,무안검기형,무명현반흔,무검렬폐합불전.결론 대우처리안검엄중시렬상채취수술현미경하자세청창,조직복위,축층대위봉합적방법가유효회복안검정상공능급형태,체도최가수복효과.
Objective To investigate the clinical characteristics,the key treatment points and the surgical techniques of severe laceration of eyelids.Methods Two hundred and sixty-four eyes of 210 cases with lacerated wound but without the defect of eyelids were investigated.The detailed examinations were performed in all patients.Then the debridement,tissue reduction and contrapuntal suture were operated under the surgical microscope.Results After postoperative follow-up for 1 years,except one case of slight ptosis and one case of medial canthal deformity,the other 262 eyes (99.24％) were all recovered well.No obvious complications,such as eyelid deformity,obvious scar,blepharophimosis or dysraphism,happened.Conclusion For the severely lacerated wound of eyelid,the normal function and morphology of eyelids can be restored effectively by the debridement,tissue reduction and contrapuntal suture under the surgical microscope.
