应用眼轮匝肌蒂皮瓣修复睑黄瘤切除后缺损的临床效果  

Clinical efficacy of repair for defect after xanthelasma removal with a subcutaneous pedicle flap based on the orbicularis oculi muscle

作　　者：耿健[1] 舒茂国[1] 刘淑妍[1] 薛萍[1] 师俊莉[1] 

机构地区：[1]第四军医大学附属西京医院整形外科,西安710032

出　　处：《中华医学美学美容杂志》2015年第1期5-7,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨眼轮匝肌蒂皮瓣修复上睑较大睑黄瘤切除后创面缺损的方法及疗效.方法 根据睑黄瘤位置及上睑皮肤松弛情况设计2条重睑线,2条重睑线之间拟去除的皮肤肌肉软组织可作为修复睑黄瘤切除后遗留创面的修补组织.于眼轮匝肌表面将睑黄瘤切除,然后根据创面的面积大小,将拟去除的皮肤肌肉软组织设计成眼轮匝肌蒂皮瓣,用以覆盖创面.最后按重睑缝合法行重睑成形术.结果 共修复睑黄瘤切除后缺损患者13例（25只眼）,并随访3～6个月,皮瓣存活良好,色泽正常,重睑形态自然.结论 利用上睑松弛的组织形成眼轮匝肌蒂皮瓣,修复上睑较大睑黄瘤切除后的创面缺损,临床效果可靠;皮瓣具有血运充足、取材邻近、设计灵活、简单实用等特点.Objective To study the method and effect of subcutaneous pedicle flap based on the orbicularis oculi muscle in the treatment of xanthelasma.Methods According to the situation of xanthelasma and the soft tissues of upper eyelid,two new double-folds eyelid was designed.The soft tissues （including the skin and muscle） between two lines were intended to form a subcutaneous pedicle flap based on the orbicularis oculi muscle.Then,after the excision of xanthelasma from the surface of orbicularis oculi muscle,the flap was transferred to the defected site.Finally,a new double-folds eyelid was made.Results 13 cases with 25 sides were treated with a follow-up period of 3-6 months.All flaps were survived with good functions and the appearance of upper eyelids were satisfactory.Conclusions Subcutaneous pedicle flap based on the orbicularis oculi muscle is a reliable option for the treatment of xanthelasma.It has the advantages of abundant blood supply,convenience and effective.

关 键 词：眼部肿瘤 睑黄瘤 皮瓣 

分 类 号：R739.7[医药卫生—肿瘤]