异体巩膜移植替代睑板重建眼睑  

ALLOSCLERA TRANSPLANT FOR EYELID RECONSTRUCTION

作　　者：郭波[1] 郭祥文[1] 罗清礼[1] 

机构地区：[1]四川大学华西医院眼科,成都610041

出　　处：《中国修复重建外科杂志》2003年第5期403-405,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　探讨异体巩膜移植替代睑板重建眼睑的临床效果。　方法　 1986年 5月～ 2 0 0 1年 1月对 4 5例部分眼睑缺损患者 ,采用异体巩膜替代睑板行眼睑重建。其中男 31例 ,女 14例。上睑 18例 ,下睑 2 7例 ;累及上或下眼睑内眦部 9例 ,外眦部 7例。眼外伤 2 2例 ,眼睑肿瘤 2 3例。眼睑缺损不超过眼睑总长度的 1/ 2。术后观察重建眼睑的外观、功能及并发症。　结果　 4 5例移植异体巩膜行眼睑重建均获成功。术后随访 11～ 38个月 ,平均 19.7个月。重建的眼睑完整 ,双侧眼睑长度及高度差值均小于 2 mm。眼睑开闭及上提功能基本正常 ,对视功能无影响。　结论　异体巩膜是替代睑板行眼睑重建的理想材料。Objective To study the clinical effects of allosclera transplant for eyelid reconstruction. Methods From May 1986 to January 2001, 45 patients who suffered from partial eyelid defect underwent the allosclera transplant for eyelid reconstruction, There were 31 cases of male and 14 cases of female, 18 cases of the upper eyelid and 27 cases of the lower eyelid, among them, 22 cases were caused by eyelid trauma and 23 cases by eyelid tumor. The length of eyelid defect were less than 1/2 of the whole eyelid. The morphology and function of the eyelid and complications were observed after operation. Results All 45 cases were followed up for 11 to 38 months, 19.7 months on average. The eyelid morphology and mobility restored well and there was no influence on visual function . Conclusion The xenosclera is an ideal material for eyelid reconstruction.

关 键 词：异体巩膜移植 眼睑缺损 眼睑重建 并发症 手术方法 

分 类 号：R779.6[医药卫生—眼科]