组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (5): 476-.

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植皮联合重睑术修复瘢痕性上睑外翻

  

  • 出版日期:2023-10-09 发布日期:2023-11-01

Skin grafting combined with double eyelid plasty in repairing cicatricial upper eyelid ectropion

  • Online:2023-10-09 Published:2023-11-01

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摘要：

目的　探讨游离植皮联合重睑术修复瘢痕性上睑外翻的治疗效果。方法　自 2010 年起，采用游离植皮联合重睑术修复瘢痕性上睑外翻畸形共 78 例（146 眼）。结果　全部患者术后随访 3~24 个月，移植皮片全部成活良好，上睑外翻得到矫正，眼睑能够自然闭合，一次手术治愈率 89.74%，二次手术获得 100% 治愈率 ；146 眼中 135 眼重睑线良好，重睑成形优良率 92.47%，效果满意。结论　植皮联合重睑术可以修复瘢痕性上睑外翻，有功能与美学修复的双重效果。

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Abstract:

Objective　To explore the effect of free skin graft combined with double eyelid surgery in repairing cicatricial
upper eyelid valgus. Methods　Since 2010, a total of 78 cases (146 eyes) of cicatricial upper eyelid valgus were repaired by
free skin grafting combined with double eyelid surgery. Results　All the patients were followed up for 3-24 months. All skin
grafts survived well, valgus was corrected, and the eyelid could close naturally. The cure rate was 89.74% for first operation and
100% for reoperation. The double eyelid line of 135 eyes in 146 eyes was good, and the excellent rate of double eyelid formation
was 92.47%, the effect was satisfactory. Conclusion　Skin grafting combined with double eyelid surgery in repairing cicatricial
upper eyelid eversion is a more feasible surgical method, which has the dual effects of functional and aesthetic repair.

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