睑缘劈开联合局部“V-T”皮瓣在下睑缘色素痣治疗中的应用  

Clinical application of palpebral margin splitting combined with local "V-T" flap in treatment of lower eyelid melanocytic nevus

作　　者：方震[1] 李小军[1] 陈振鹤[1] 

机构地区：[1]深圳市人民医院整形美容外科,广东深圳518020

出　　处：《中国美容医学》2013年第19期1915-1917,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨应用下睑缘劈开联合局部“V-T”皮瓣修复下睑缘色素痣切除后下眼睑全层缺损的方法.方法：手术行下睑缘色素痣完全切除,术后局部形成下眼睑全层缺损,根据创面的大小及形状,采用睑缘劈开联合局部“V-T”皮瓣修复.结果：2011年8月～2013年8月,下睑缘色素痣患者13例,采用睑缘劈开术结合“V-T”皮瓣修复.随访1～12个月,平均7.4个月.患者切口愈合良好,切口Ⅰ期愈合,下睑缘弧度流畅自然,睑缘切迹不明显,无睑裂闭合不全,眼睑外观形态较自然,无明显继发畸形出现.随访期间无肿瘤复发,效果满意.结论：因下睑缘色素痣位置比较特殊,并且结构复杂,采用睑缘劈开术结合“V-T”皮瓣修复下睑缘色素痣切除后的创面,能获得满意的治疗和美容效果.Objective Discussion on the application of method of full layer eyelid defect of lower eyelid splitting combined with local ＂V-T＂ skin flap after resection of lower eyelid nevus.Methods Operation line the palpebral margin pigmented nevus complete resection,lower eyelid full-thickness defects formed locally after operation,according to the size and shape of the wound,palpebral margin splitting combined with the local ＂V-T＂ skin flap to repair.Results 2011-8～2013-8,23 cases of palpebral margin pigmented nevus,the palpebral margin splitting combined with local ＂V-T＂ skin flap.Patients were followed up for 1 ～12 months,average 7.4 months.The incision healed,under natural eyelid radian,Eyelid notch is not obvious,No palpebral fissure closure insufficiency,Eyelid appearance is natural,no significant secondary deformity.No tumor recurrence during follow-up,satisfactory.Conclusions Because of lower eyelid nevus position is special,And the complex structure.The eyelid flap splitting combined with local ＂V-T＂ skin flap repair,application of palpebral margin pigmented nevus resection,Can obtain satisfactory therapeutic and cosmetic.

关 键 词：下睑缘 全层缺损 下睑缘切迹 "V-T"皮瓣 色素痣 

分 类 号：R622[医药卫生—整形外科]