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目的观察应用不同手术方法矫正麻风麻痹性下睑外翻的疗效。方法 2006年10月-2009年11月,共收治麻风麻痹性下睑外翻68例115眼,根据患者下睑外翻程度和局部专科情况,分别采用颞肌移位+阔筋膜移位悬吊固定术(Johnson法),改良颞肌移位术,下睑板缩短外眦韧带悬吊固定术,眼轮匝肌岛状皮瓣,眼轮匝肌悬吊固定术以及丝线悬吊固定术矫正眼睑外翻。结果 68例115眼成功率98.9%,手术后由于下睑外翻导致的各种合并症明显好转。随访观察4～11个月所有患者术后效果良好,无复发。结论麻风麻痹性下睑外翻的手术治疗应根据患者的不同情况选择合适的手术方法,才能达到最佳的矫正效果。
Objective To observe the curative effect of using different surgical methods to correct paralytic eyelid eversion. Methods From October 2006 to November 2009, 68 cases (115 eyes) of leprosy with eyelid eruption were treated. According to the degree of eyelid eversion and local specialties, the patients were treated with temporal muscle displacement + Johnson method, modified temporoparial muscle transposition, inferior tarsal bulbar tetanus suspension fixation, orbicularis oculi flap, orbicularis oculi muscle suspension fixation, and wire suspension fixation Correction of eyelid valgus. Results The success rate of 68 cases (115 eyes) was 98.9%. Various complications caused by lower eyelid eversion after operation were significantly improved. All the patients were followed up for 4 to 11 months and the results were good and no recurrence was found. Conclusion The treatment of leprosy paralysis under the eyelid surgery should be based on the patient’s condition to choose the appropriate surgical methods in order to achieve the best correction effect.