眼睑复合组织瓣修复眼睑全层缺损  

Repair of eyelid full defect with composite flap pedicled with arterial arch of palpebral margin

作　　者：赵天兰[1] 程新德[1] 李光早[1] 徐静[1] 葛树星[1] 王怀谷[1] 李旭文[1] 

机构地区：[1]蚌埠医学院附属医院整形外科,233004

出　　处：《中华医学美学美容杂志》2003年第2期72-74,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨中、重度眼睑全层缺损的修复方法。方法　根据眼睑的解剖结构设计眼睑缺损两侧以睑缘动脉弓为血供的带蒂眼睑复合组织瓣 ,切开游离后 ,向缺损区水平推进Ⅰ期修复眼睑包括睑缘睫毛在内的全层组织缺损。结果　 1998年以来临床治疗 11例 ,眼睑缺损最大长度 1.7cm ,最小0 .8cm ,缺损长度均超过全睑长度的 1/ 3 ,眼睑瓣全部成活 ,无并发症 ,修复后眼睑外形满意。结论　应用带蒂眼睑复合组织瓣推进Ⅰ期修复眼睑全层缺损 ,手术操作简便 ,就地取材 ,血供可靠 ,能以正常的眼睑的解剖结构最大限度地恢复眼睑功能及外形 ,术后无明显继发畸形 。Objective To investigate the method of repairing moderate or severe full defect of eyelid. Methods According to eyelid structure and the defect size, the two composite eyelid flaps were designed beside defect based on the arterial arch of the palpebral margins. If the defective area was too large, the lateral composite flap may be extended to lower or upper eyelid at the outer canthus, then the two flaps were propelled to the defective region to repair it. Results Eleven patients had been cured with this method since 1998. The largest length of eyelid defect was 1.7cm, and the smallest was 0.8cm. All defects exceeded 1/3 length of the upper or lower eyelid. All composite flaps survived completely without any complication. The appearance of the repaired eyelid was satisfactory. Conclusion Using the composite flap to repair the full moderate or severe full defect of eyelid is a new and effective method. It can not only provide enough tissues to repair large full defect of the upper or lower eyelid and to restore normal anatomical structure and appearance of the eyelid, but also is easy to be operated without severe secondary deformities, and the blood supply of the composite flap is reliable. The method is worth employing routinely.

关 键 词：眼睑缺损 科皮瓣 手术方法 解剖结构 适应证 

分 类 号：R622.1[医药卫生—整形外科]