眼睑肿物切除术后患者在修复中应用不同角度旋转皮瓣的效果  

The effect of using different angle rotating flaps in the repair of patients after eyelid tumor resection

作　　者：程天书 郑晓 陈正勇 包宁 CHENG Tian-shu;ZHENG Xiao;CHEN Zheng-yong;BAO Ning(Department of Eye Plastic Surgery,Fuzhou Southeast Eye Hospital,Jinshan New Hospital,Fujian Province,350028,China)

机构地区：[1]福州东南眼科医院金山新院眼部整形科,福建福州350028

出　　处：《中国医疗美容》2023年第11期24-27,共4页China Medical Cosmetology

摘　　要：目的探讨不同角度旋转皮瓣应用在眼睑肿物切除术后患者修复中的效果。方法选取2017年1月~2021年12月在我院行眼睑肿物切除术后修复的患者122例,采用随机数表法分为对照组和研究组,每组各61例,对照组、研究组分别给予90°、180°旋转皮瓣进行修复,比较两组修复前后的眼睑前层缺损面积,修复满意度,以及皮瓣存活和并发症发生情况。结果修复前,两组眼睑前层缺损面积比较,均无统计学意义(P>0.05);修复后,两组眼睑前层缺损面积较修复前均降低(P<0.05),且研究组眼睑前层缺损面积与对照组比较,明显较低(P<0.05)。研究组修复满意度优于对照组(P<0.05),研究组修复总满意度为96.72%,与对照组的80.33%比较,明显较高(P<0.05)。研究组皮瓣存活率为98.36%,与对照组的96.72%比较,无统计学意义(P>0.05),研究组并发症发生率为4.92%,与对照组的21.31%比较,明显较低(P<0.05)。结论与90°旋转皮瓣进行修复相比较,眼睑肿物切除术后采用180°旋转皮瓣进行修复,可更有效缩小眼睑前层缺损面积,降低并发症,提高患者修复满意度,二者均可有效提高皮瓣存活率。Objective To explore the effectiveness of different angle rotatingflaps in repairing patients after eyelid tumor resection.Methods A total of 122 patients who underwent eyelid tumor resection and repair in our hospital from January 2017 to December 2021 were selected.They were randomly divided into a control group and a study group using a random number table method,with 61 patients in each group.The control group received a 90°rotation skinflap for repair,while the study group received a 180°rotation skinflap for repair.The area of eyelid anterior layer defect before and after repair,repair satisfaction,flap survival,and incidence of complications were compared between the two groups.Result Before repair,there was no statistically signifcant difference in the area of anterior eyelid defect between the two groups(P>0.05);After repair,the area of eyelid anterior layer defect in both groups decreased compared to before repair(P<0.05),and the area of eyelid anterior layer defect in the study group was signifcantly lower compared to the control group(P<0.05).The satisfaction with repair in the research group was better than that in the control group(P<0.05),with a total satisfaction rate of 96.72%,which was signifcantly higher compared to 80.33%in the control group(P<0.05).The survival rate of theflap in the study group was 98.36%,which was not statistically signifcant compared to 96.72%in the control group(P>0.05).The incidence of complications in the study group was 4.92%,which was signifcantly lower compared to 21.31%in the control group(P<0.05).Conclusion Compared with 90°rotating skinflap for repair,using 180°rotating skinflap for repair after eyelid tumor resection can more effectively reduce the area of eyelid anterior layer defect,reduce complications,and improve patient satisfaction with repair.Both methods can effectively improve the survival rate of the skinflap.

关 键 词：眼睑肿物切除术 修复 旋转皮瓣 

分 类 号：R779.6[医药卫生—眼科]