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目的探讨不同类型瘢痕性眼睑畸形的手术方式及治疗效果。方法瘢痕性眼睑畸形10例(15眼),分别行瘢痕松解及游离皮瓣移植术4例(7眼),瘢痕松解游离皮瓣移植同时行羊膜移植1例(1眼),瘢痕松解联合“Z”字皮瓣转位2例(3眼),瘢痕松解联合带蒂皮瓣转位1例(1眼);瘢痕松解联合眼轮匝肌蒂皮瓣修复1例(1眼),瘢痕松解联合睑板楔形切除联合双下眼睑成形术1例(2眼)。结果10例(15眼)手术后获得不同程度满意的外观和功能恢复。结论在眼睑瘢痕修复时,只要能使皮肤缺损和结膜囊完整性得到修复,瘢痕性眼睑畸形恢复眼睑功能及外观,效果良好。
Objective To investigate the surgical methods and therapeutic effects of different types of cicatricial eyelid deformities. Methods Cicatricial eyelid deformity was performed in 10 patients (15 eyes). Four patients (7 eyes) received scar release and free flap grafting. One patient (1 eye) One case (1 eye) was translocated by scar release combined with pedicle flap flap in 1 case (2 eyes) and 1 case (1 eye), scar release combined with tarsal resection combined with double lower eyelidoplasty in 1 case (2 eyes). Results Ten patients (15 eyes) received different degrees of satisfactory appearance and functional recovery after operation. Conclusion In the eyelid scar repair, as long as the skin defect and conjunctival sac integrity can be repaired, cicatricial eyelid deformity restored eyelid function and appearance, the effect is good.