眼睑全层多发性外伤的一期手术修复分析  

Analysis of one-stage surgical repair for the full-thickness eyelid multiple injuries

作　　者：酒旭东[1] 李文捷[1] Jiu Xudong;Li Wenjie(Department of Ophthalmology, the First Hospital of Lanzhou University, Lanzhou 730000, China)

机构地区：[1]兰州大学第一医院眼科,兰州730000

出　　处：《中华眼外伤职业眼病杂志》2019年第9期655-658,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：甘肃省省青年科技基金计划(17JRA255).

摘　　要：目的分析眼睑全层多发性外伤的一期手术修复方式及临床效果。方法回顾性分析2015年1月至2015年12月该院急诊收治的眼睑全层多发性外伤92例(92只眼)的资料,眼睑全层裂伤采用三缝线缝合法、水平褥式缝合法以及垂直褥式缝合法进行修复,伴有泪小管断裂、上睑提肌断裂、眼睑皮肤缺损、韧带断裂则分别进行泪小管断裂吻合术、上睑提肌断裂缝合术、眼睑缺损修复术和韧带复位术。结果92例均顺利完成一期清创缝合术,术后无伤口感染,均为I期愈合,随访6个月,96.7%(89/92)的患者眼睑外观、形态、闭合及运动功能恢复良好。结论正确、及时、细致的手术能够使大部分眼睑全层裂伤在I期术后得到良好的修复,对于多发性外伤患者应根据具体情况,选择适当手术方式。Objective To analyze the one-stage surgical repair method and clinical efficacy for the treatment of full thickness injuries multiple of eyelid. Methods The data of 92 eyes of 92 cases with multiple injuries of eyelid full thickness from Jan.2015 to Dec.2015 were analyzed retrospectively. The lacerated wound of eyelid full thickness was repaired with three stitch suture, horizontal and vertical mattress suture. Patients who were accompanied with lacrimal canalicular rupture, musculus levator palpebrae superioris fracture and ligament fracture were separately adopted lacrimal canalicular anastomosis, eyelid defect repair and ligament reduction. Results All cases successfully performed emergency surgery repair, no demonstrated wound infection occurred. All the wound of patients healed after one-stage surgical repair. After 6 months of follow-up, eyelid appearance, closure and motor function recovered well in 96.7%(89/92). Conclusion A correct, timely and delicate surgery can make most eyelid lacerations repaired well after one-stage operation. According to the condition of the patient of multiple eyelid injuries and choose the appropriate surgical methods for repair.

关 键 词：外伤 眼睑 多发性 手术修复 一期 

分 类 号：R779.6[医药卫生—眼科]