异体巩膜移植联合任意皮瓣成形术治疗中重度眼睑深层和全层缺损的疗效  

Effect of allogeneic sclera transplantation combined with arbitrary flap plasty in the treatment of moderate and severe deep and full-thickness eyelid defect

作　　者：高明敏 邢枫 Ming-Min Gao;Feng Xing(Henan Provincial People's Hospital,Henan Eye Hospital&Henan Eye Institute,People's Hospital of Zhengzhou University,Zhengzhou 450003,Henan Province,China)

机构地区：[1]河南省人民医院河南省立眼科医院&河南省眼科研究所郑州大学人民医院,中国河南省郑州市450003

出　　处：《国际眼科杂志》2021年第9期1665-1668,共4页International Eye Science

摘　　要：目的:探讨异体巩膜移植联合任意皮瓣成形术治疗中重度眼睑深层和全层缺损的临床效果。方法:回顾性分析2017-06/2020-06于我院行异体巩膜移植联合任意皮瓣成形术治疗的中重度眼睑深层和全层缺损患者103例103眼。术后随访1~6mo,观察异体巩膜吸收融合状态、皮瓣成活状态、眼睑形态、眼睑开合功能、眼睑瘢痕等情况,评估手术疗效。结果:术后随访期间,异体巩膜逐渐被受体组织代替,所有患者眼睑内层异体巩膜均为结膜细胞覆盖,眼睑外层异体巩膜与皮肤黏连紧密,无明显排异反应,皮瓣成活良好,眼睑形态良好,闭合自然,瘢痕不明显。结论:异体巩膜移植联合任意皮瓣成形术治疗中重度眼睑深层和全层缺损疗效确切,能够达到外观与功能兼具,临床疗效显著。AIM:To investigate the application and therapeutic effect of allogeneic sclera transplantation combined with arbitrary flap plasty in the treatment of moderate and severe deep and full-thickness eyelid defect.METHODS:Medical records of 103 patients(103 eyes)who underwent allogeneic scleral transplantation combined with random flap plasty in the treatment of moderate and severe deep and full-thickness eyelid defect from June 2017 to June 2020 were retrospectively reviewed.All patients were followed up for 1-6mo after operation was performed to evaluate the postoperative effects of the resorption and compatibility of allogeneic sclera,the survival situation of skin flaps,eyelid appearance,eyelid closure,eyelid scar.RESULTS:Follow up observation from 1-6mo after operation,the allogeneic sclera was gradually replaced by the receptor tissue,allogeneic sclera in the inner layer of the eyelid was covered with conjunctival cells,allogeneic sclera and skin join closely together in the outer layer of the eyelid.There was no rejection in allogeneic sclera.All patients had survived skin flaps,good eyelid shape,natural eyelid closure,and no scars.CONCLUSION:The allogeneic sclera transplantation combined with random flap plasty has curative effect in the repair of moderate and severe deep and full-thickness eyelid defect.It has both function and aesthetics result,and it is suitable for clinical promotion.

关 键 词：异体巩膜 任意皮瓣成形 眼睑缺损 眼睑瘢痕 

分 类 号：R779.6[医药卫生—眼科]