Y—V成形术与不等Z成形术矫正内眦赘皮的临床效果比较  

Clinical analysis of epicanthus correction with two methods ： Z-plasty and Y-V plasty

作　　者：陈明[1] 熊猛[1] 王磊[1] 郭宗科[1] 林鹤[1] 

机构地区：[1]东南大学附属中大医院整形外科,南京210009

出　　处：《中华整形外科杂志》2016年第1期21-25,共5页Chinese Journal of Plastic Surgery

摘　　要：目的对比Y—V成形术与不等z成形术矫正内眦赘皮的临床效果。方法2010年2月至2013年3月，对88例行Y—V成形术或不等z成形术矫正内眦赘皮患者的临床资料进行统计，采集患者手术前、后正面照片，应用东软Neusoft软件，以虹膜为比例尺测量患者手术前、后内眦部各美学参数，引入温哥华瘢痕量表对其术后瘢痕进行评估，以比较2种手术方法的差异及优缺点。结果行Y-V成形术矫正内眦赘皮，术后患者内眦间距缩短5．88％，眼裂宽度增加4．71％，同时眼裂角缩小13．06°，眼裂倾斜度减小1．06°，术后长期无明显回缩。行不等z成形术的患者，术后内眦间距缩短8．36％，眼裂宽度增加6．39％，眼裂角缩小13．35。，眼裂倾斜度减小1．29°，术后长期睑裂宽度回缩约1．10％，内眦间距回缩约1．70％。2种手术方法术后瘢痕无明显差异。结论采用不等z成形术及Y—V成形术矫正内眦赘皮，均能获得良好的矫正效果，在眼裂角、眼裂倾斜度的改变及术后瘢痕方面，两者无明显差异。不等z成形术对内眦间距缩短、眼裂增宽的矫正幅度更大，但其术后存在一定的回缩现象。Objective To compare the clinical epicanthus corrective surgery. Methods Canthoplasty with advancement procedure for epieanthoplasty is applied in 42 effects of different surgical methods for the asymmetric Z-flap is applied in 46 cases,Y-V cases. The epicanthus aesthetic measurement were measured and calculated by software before and after surgery,the diameter of the iris was measured as a reference value,and the postoperative scar was assessed by VSS scale. At the same time, by measuring the lateral canthal distance, the accuracy of the measurement method can be verified. Results Allpatients were satisfied with the long-term results and there were no recurrences of the epicanthal fold. The shortening ratio of the ICD is 8.36% in the group with the Z-plasty, and 5.88% in Y-V plasty, the lateral canthal distance have no diffrence before and after surgery. Conclusions Two surgical methods can get good results. The magnitude of correction in Z-plasty may larger than Y-V plasty, but postoperative retraction may existed in Z plasty.

关 键 词：内眦赘皮 不等Z成形术 Y-V成形术 

分 类 号：R622[医药卫生—整形外科]