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目的总结采用改良Z形切口法矫正内眦赘皮的疗效。方法 2013年9月—2015年3月,采用改良Z形切口法对93例内眦赘皮患者行内眦赘皮矫正术。女80例,男13例;年龄16~40岁,平均30岁。轻度内眦赘皮35例,中度54例,重度4例。64例伴单睑,29例伴不明显重睑。85例同期行重睑术,8例不明显重睑者单纯行内眦赘皮矫正术。结果术后患者切口均Ⅰ期愈合。患者均获随访,随访时间6~12个月,平均9个月。患者上睑无明显瘢痕;内眦部外观平整,泪阜显露适中,睑裂变长;内眦角与重睑线衔接流畅。患者均对效果满意。结论改良Z形切口法矫正内眦赘皮设计简单、操作方便,切口隐蔽、瘢痕不明显、内眦形态自然,能达到功能与形态完美结合的目的。
Objective To summarize the curative effect of the modified Z-shaped incision on epicanthus. Methods From September 2013 to March 2015, 93 cases of endoscopic epicanthus were treated with endoscopic epicanthal by modified Z-notch method. Female 80 cases, 13 males; aged 16 to 40 years old, average 30 years old. 35 cases of mild epicanthus, 54 cases of moderate, severe in 4 cases. 64 cases with single eyelid, 29 cases with obvious double eyelid. Eighty-five patients underwent double eyelid surgery in the same period, and 8 patients with simple eyelids were treated with simple epicanthes. Results Postoperative incision healed in all cases. Patients were followed up for 6 to 12 months, an average of 9 months. Patients with no significant scar on the upper eyelid; Department of the Ministry of internal flat formation, tear Fu moderate exposure, palpebral fissure becomes longer; internal angle and convergence of double eyelid smooth. Patients are satisfied with the results. Conclusion The modified Z-shaped incision is a simple, easy-to-operate and easy-to-use method for the correction of epicanthoma. The incision is concealed, the scar is not obvious, and the internal canthus is in a natural form, which can achieve the perfect combination of function and form.