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作者用改进的植皮术治疗沙眼瘢痕性睑内翻,效果良好者达93.8%,经两年以上的随访,复发者甚少。手术方法:成人用局部浸润麻醉,儿童用全麻。切开睑缘,切口以超过睫毛两端为度,其深度以内翻倒睫的程度而定。将睫毛根部切在前唇,若睫毛根已切在后唇者,应将其全部切除。如果睑板肥厚或感染,应充分切除。沿睑缘切口的两端继续向上垂直切开3～4毫米,分离睑板前的轮匝肌纤维,切口的内端注意避开泪点。两平行的皮肤切口相距1.5～2毫米,其第一平行切口应在睑缘上3～4毫米,此切口的两端与垂直切口相连。分离两平行切口间的皮肤使其游离,两端勿切开。将已游离的皮片向下移于睑缘切口内,以聚乙烯管垫于皮片上,用
The authors used improved skin grafting treatment of trachoma scar ectropion, 93.8% of the good results, after more than two years of follow-up, little recurrence. Surgical methods: adult with local anesthesia, children with general anesthesia. Cut the eyelid margin, incision to more than both ends of the eyelashes degree, the depth of the inverted eyelashes within the degree may be. The eyelash roots cut in the anterior lip, if the eyelashes have been cut in the posterior lip, it should be all excised. If tarsal hypertrophy or infection, should be fully removed. Continue along the eyelid incision at both ends of the vertical upward incision 3 ~ 4 mm, separation of the tarsal muscle fiber in front of the tarsus, the inner end of the incision to avoid the punctum. Two parallel skin incision 1.5 to 2 mm apart, the first parallel incision should be in the eyelid 3 to 4 mm, the incision at both ends connected with the vertical incision. Separate the skin between the two parallel cuts to make it free, do not cut open at both ends. The free skin has been moved downward in the eyelid incision to polyethylene pipe pad on the skin with