自体真皮或脱细胞真皮重建眼台的临床效果  

Clinical effects of pretarsal fullness reconstruction of the lower eyelid using autologous dermis or acellular dermis

作　　者：谢宏彬[1] 谢祥[1] 薛红宇[1] Xie Hongbin;Xie Xiang;Xue Hongyu(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院成形外科,100191

出　　处：《中华医学美学美容杂志》2018年第6期426-428,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨以自体真皮或脱细胞真皮重建下睑眼台的新手术方法。方法2010年9月至2013年11月,北京大学第三医院成形外科以真皮组织行眼台重建术16例。在下睑缘近内外眦处分别做2个4~5mm小切口,在2个切口之间做皮下潜行分离,形成一皮下隧道,将真皮条植入,两端与深层眼轮匝肌缝合固定以维持皮条张力,关闭伤口。结果有11例患者采用自体真皮移植,5例采用脱细胞真皮移植。随访3~24个月,重建眼台总体效果明显、形态自然,患者满意度高。并发症包括轻度巩膜外露、移植真皮少量吸收、眼台形态轻微不规则等,1例真皮条感染取出。结论自体真皮及脱细胞真皮移植是眼台重建的简单有效方法。Objective To investigate the new metheds of recreating pretarsal fullness of the lower eyelid using autologous dermis or acellullar dermis.Methods Between September 2010 and November 2013,total 16 patients underwent the procedures of recreating of pretarsal fullness of the lower eyelid using dermis materials.A stab skin incision of approximately 4-5mm was made at the lateral canthus and inner canthus along the subciliary crease of the lower eyelid respectively,and then the skin was undermined to create a subcutaneous tunnel between two stab incisions.The dermis roll was introduced into the undermined subcutaneous plane of the lower eyelid.The end of dermis was sutured to orbicularis oculi muscle to maintain the appropriate tension.Results 11 cases of them used autologous dermis,5of used acellullar dermis.The patients were followed up for 3-24 months.Lower-eyelid pretarsal fullness regained abvious and natural appearance,and the patients were highly satisfied.Complications included slight sclera show,partial absorption of dermis material and slight irregular apperenee.One case of dermis infection occured and dermis roll had to be removed.Conclusions Autologous dermis or acellullar dermis grafting are simple,efficient techniques for recreating of pretarsal fullness of the lower eyelid.

关 键 词：移植 自体 真皮 脱细胞真皮 小外科手术 眼台 

分 类 号：R622[医药卫生—整形外科]