重度眼睑全层缺损的修复  

Repair of severe full-thickness eyelid defect

作　　者：刘函 张红[1] Liu Han;Zhang Hong(Department of Ophthalmology,The Fourth Affiliated Hospital of Kunming Medical University,Yunnan Second People's Hospital,Yunnan Ophthalmology Research Institute,Yunnan Key Laboratory of Ophthalmology Disease Research,Yunnan Clinical Medical Center for Ophthalmic Diseases,Kunming 650000,China)

机构地区：[1]昆明医科大学第四附属医院眼科云南省第二人民医院云南省眼科研究所云南省眼科疾病研究重点实验室云南省眼科疾病临床医学中心,650000

出　　处：《国际眼科纵览》2020年第3期207-213,共7页International Review of Ophthalmology

基　　金：云南省眼科疾病临床医学中心[(ZX2019-02-01)-YXZX-30]。

摘　　要：重度眼睑全层缺损严重危及眼表健康及外观,其形态和功能的重建均较困难.眼睑全层缺损的修复包括眼睑前层(皮肤肌肉层)和眼睑后层(睑板结膜层)的重建.前层眼睑缺损可采用各种局部皮瓣如滑行皮瓣、“风筝”皮瓣、旋转皮瓣等进行覆盖重建,亦可采用游离皮片移植;后层眼睑缺损则需要选择合适的睑板、睑板结膜复合组织或结膜的替代材料包括自体组织、异体组织及人工合成材料进行重建.Severe eyelid full-thickness defect seriously endangers the health and appearance of the eye surface,and the reconstruction requires the replacement of the external musculocutaneous layer as well as the internal mucosal layer.The defect of the anterior eyelid can be covered with various local flaps(such as kite flap,gliding flap,rotating flap,etc.)and free flaps.The defect of the posterior eyelid needs to be reconstructed by selecting appropriate meibomian,meibomian conjunctival composite tissue or conjunctival substitute materials including autogenous tissue,allogeneic tissue and synthetic materials.

关 键 词：眼睑缺损 重建 睑板 皮瓣 

分 类 号：R779.6[医药卫生—眼科]