复合组织移行瓣在眼睑缺损整复中的应用  

The study of using composite tissue transfer flap in eyelid defect repair

作　　者：陆炯[1] 邢茜[1] 陶建军[1] 黄丽霞[1] 孟逸芳[1] 

机构地区：[1]常熟市第二人民医院眼科,江苏常熟215500

出　　处：《眼视光学杂志》2008年第5期392-393,共2页Chinese Journal of Optometry & Ophthalmology

摘　　要：目的采用复合组织移行瓣做上、下睑再造手术,对上、下眼睑缺损进行修复,评价其在功能修复与外观美容等方面的作用。方法对10例眼睑缺损患者行复合组织移行瓣再造手术,在距上睑或下睑缘3～4mm处平行于睑缘全层切开,分离形成一皮瓣,分别上移行或下移行修复缺损处,如皮肤缺损较大,可再加游离植皮进行修复。术后随访时间为3~38个月,观察其修复形态和闭启程度。结果10例患者术后眼睑缺损部位均得到满意修复,皮瓣及皮片成活,色泽良好,活动自如。结论该手术可有效满足上或下睑部分全层缺损的修复,做到一期手术,一期愈合,达到功能与外观的完满结合。Objective To use composite tissue transfer flap eyelid rebuild method in eyelid defect repair, and evaluate its usage in eyelid functional repair and appearance cosmetic. Methods We used composite tissue transfer flap rebuild method in 10 patients with eyelid tumor. We made a parallel full-sickness incision from 3～4 mm distance of upper or lower eyelid margin, made a free-formation skin flap and repair the defect of eyelid. We also used another skin flap in cases with large eyelid skin defect. The follow-up time after surgery was 3～38 months, in every patient we observed the eyelid outlook and measured the open or close eyelid degree. Results Ten patients were all repaired perfectly. The skin flap and the skin graft were all survival in good color and active freely. Conclusion This surgery can effectively meet the repair for part or full-sickness of upper or lower eyelid defect, first-stage surgery with first-stage healing. It makes a perfect combination of function and appearance.

关 键 词：眼睑缺损 眼睑复合组织 眼睑再造 

分 类 号：R739.7[医药卫生—肿瘤]