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①目的探讨Z成形术矫治上、下睑倒睫的临床效果。②方法在倒睫相应的睑缘灰线设计一水平方向切口线,长度略长于倒睫范围,在相应的眼睑皮肤处设计一水平方向切口线,长度与灰线切口相同,两线分别作为Z字上、下两臂,其间距视倒睫范围和轻重而定,在两线间做一斜线,作为Z字中轴,两夹角大小可不完全一致。按设计线切开形成两舌形皮瓣,相互交叉换位,将带有睫毛的皮瓣移向远离睑缘方向,无睫毛的皮瓣移至睑缘处。③结果本组41例患者(44眼),术后随诊6～12个月,倒睫矫治良好无复发,眼睑外形满意,瘢痕无外露4,1例均无复发。④结论 Z成形术矫治局限性倒睫创伤小,操作简单,临床效果良好。
① Objective To investigate the clinical effect of Z-plasty on upper and lower eyelid trichiasis. Methods A horizontal incision line was designed on the corresponding eyelid gray line of trichiasis. The length was slightly longer than that of trichiasis. A horizontal incision line was designed at the corresponding eyelid skin. The length was the same as the gray line incision. The two lines were taken as Z Word on the next two arms, the distance depending on the scope and severity of trichiasis, to make a slash between the two lines, as the Z axis, the angle between the two sizes may not be exactly the same. According to the design line cut to form two tongue-shaped flap, cross each other, with the eyelashes flap away from the eyelid direction, no eyelash flap moved to the eyelid. Results The group of 41 patients (44 eyes) were followed up for 6 to 12 months. There was no recurrence after trochanter treatment, the shape of the eyelid was satisfactory, and no scar was found in 4 and 1 cases. ④ Conclusion Z angioplasty treatment of trichiasis trauma limitations, simple operation, clinical effect is good.