Z形皮瓣及推进皮瓣修复眼睑缺损的作用探讨  

The Role of Z-shaped Skin Flap and Advancing Skin Flap in Repairing Eyelid Defect

作　　者：苏影 SU Ying(Ophthalmology Department,General Hospital of Employees of Liaoyuan Mining(Group)Co.,Ltd.,Liaoyuan Jilin 136201,China)

机构地区：[1]辽源矿业(集团)有限责任公司职工总医院眼科,吉林辽源136201

出　　处：《中国继续医学教育》2021年第1期94-96,共3页China Continuing Medical Education

摘　　要：目的探讨眼睑恶性肿瘤切除术中应用Z形皮瓣及推进皮瓣I期修复眼睑缺损的临床效果。方法将50例眼睑恶性肿瘤切除术患者按不同缝合方法分为两组,即对照组25例,术中直接缝合;观察组25例,术中行Z形皮瓣及推进皮瓣I期修复;比较两组眼睑修复效果。结果观察组术后皮瓣成活率96.0%、切口Ⅰ期愈合率100%、修复满意率92.0%,均高于对照组的72.0%、68.0%、56.0%,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论眼睑恶性肿瘤切除术中眼睑缺损修复时,采用Z形皮瓣及推进皮瓣,眼睑修复良好,患者修复满意率高,值得推广应用。Objective To investigate the clinical effect of using Z-shaped flap and advancing flap in the repair of orbital defect in orbital malignant tumor.Methods 50 patients with orbital malignant tumor resection were divided into two groups according to different suturing methods,namely 25 cases in the control group and sutured directly during operation.In the observation group,25 cases were treated with Z-shaped flap and propelled flap in the first stage.The effect of eyelid repair in both groups.Results The survival rate of the flaps in the observation group was 96.0%,the healing rate of the incision was 100%,and the satisfaction rate was 92.0%,which was higher than 72.0%,68.0%,and 56.0%of the control group.The difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion When the orbital defect is repaired in the orbital malignant tumor resection,the Z-shaped flap and the propelled flap are used,the orbital repair is good,and the patient satisfaction rate is high.

关 键 词：眼睑恶性肿瘤切除术 Z形皮瓣 推进皮瓣 Ⅰ期修复 眼睑缺损 皮瓣成活 

分 类 号：R779[医药卫生—眼科]