改良“Z”成形术与改良倒“L”成形术矫治单睑伴内眦赘皮效果对比研究  

Clinical Comparative Study on Modified“Z”Plasty and Modified Inverted“L”Plasty in the Treatment of Single Eyelid with Epicanthus

作　　者：李树平 孙洋 LI Shu-ping;SUN Yang(Department of Plastic Surgery,Hefei Yixing Medical and Beauty Hospital,Hefei 230031,Anhui,China)

机构地区：[1]合肥市艺星医疗美容医院整形外科,安徽合肥230031

出　　处：《中国美容医学》2020年第8期12-15,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨改良"Z"成形术与改良倒"L"成形术矫治单睑伴内眦赘皮的临床效果。方法:选取笔者医院2017年8月-2018年9月124例单睑伴内眦赘皮患者为研究对象。按照数字表随机分为观察组和对照组各62例。观察组采用改良"Z"成形术,对照组采用改良倒"L"成形术。比较两组内眦间距(Intercanthal distangce,ICD)缩短率、视觉模拟量表(Visual analogue scale,VAS)评分、手术前后眼外形变化情况(睑裂水平长度、睑裂垂直高度、睫毛暴露长度、睫毛上翘度)及术后并发症(创面感染、眨眼受限、出血肿胀、瘢痕、皮瓣坏死)发生情况。结果:观察组ICD缩短率高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。两组患者手术效果比较,术后睑裂水平长度、睑裂垂直高度、睫毛暴露长度、睫毛上翘度效果相当,组间比较差异无统计学意义(P>0.05)。观察组患者术后并发症发生率6.5%显著低于对照组19.4%,差异有统计学意义(P<0.05)。结论:改良"Z"成形术矫正单睑伴内眦赘皮,手术效果较理想,术后并发症较少,安全高效,具有临床价值。Objective to investigate the clinical effect of modified"Z"plasty and modified inverted"L"plasty in the treatment of single eyelid with epicanthus.Methods 124 cases of single eyelid with epicanthus from August 2017 to September 2018 were selected as the study subjects.According to the scheme of randomized grouping by digital table,62 cases were divided into the observation group and the control group.The observation group was treated with modified"Z"plasty,while the control group was treated with modified inverted"L"plasty.The intercanthal distangce shortening rate,visual analogue scale score,changes of eye shape before and after operation(horizontal length of eyelid fissure,vertical height of eyelid fissure,length of eyelash exposure,eyelash curvature)and the incidence of postoperative complications(wound infection,blink limitation,bleeding swelling,scar,skin flap necrosis)were compared between the two groups.Results The ICD shortening rate of the observation group was higher than that of the control group,and the VAS score was lower than that of the control group,the difference were statistically significant(P<0.05).Compared with the operation effect of the two groups,the horizontal length of eyelid fissure,the vertical height of eyelid fissure,the exposure length of eyelashes and the curvature of eyelashes after operation were similar,but the differences were not statistically significant(P>0.05).The incidence of postoperative complications in the observation group was 6.5%,which was significantly lower than that in the control group(19.4%,P<0.05).Conclusion The modified"Z"plasty is a safe and effective for the correction of single eyelid with epicanthus.It has ideal effect,fewer complications,and has clinical value.

关 键 词：改良“Z”成形术 改良倒“L”成形术 单睑伴内眦赘皮 内眦间距 视觉模拟量表 瘢痕 并发症 

分 类 号：R622[医药卫生—整形外科]