瘢痕性睑外翻的综合治疗

Combined therapy of cicatricial ectropion

目的:探讨不同类型瘢痕性睑外翻的修复方法及效果。方法:对15例不同类型和不同程度的瘢痕性睑外翻,采用局部瘢痕松解睑缘粘连、耳后返流轴型皮瓣修复及瘢痕松解植皮修复。结果:1例返流轴型耳后岛状皮瓣术后出现静脉回流障碍,皮瓣远端部分表皮坏死,Ⅱ期植皮后治愈,其余14例随访3～8月,眼睑外翻矫正,效果良好。结论:瘢痕性睑外翻病情复杂多样,须根据具体情况采用恰当方法,可取得良好效果。

Objective To investigate rational methods to repair different type of cicatricial ectropion. Methods 15 patients with different type and degree of cicatricial ectropion were repaired with the method of simple skin grafting, posterior auricular refluxing axial skin flap or anchyloblepharon. Results After 3-8 months follow-up observation 14 patients got good repaired effects. Ncrobiosis occurred in distal skin flap of one patient with posterior auricular refluxing axial skin flap method. Conclusion Cicatricial ectropion was complicated. Appropriate method should be applied to different cicatricial ectropion to achieve good results