眼睑瘢痕畸形的手术治疗

Surgical correction of cicatricial blepharon deformities

目的探讨不同类型瘢痕性眼睑畸形的手术方式及治疗效果。方法瘢痕性眼睑畸形10例(15眼),分别行瘢痕松解及游离皮瓣移植术4例(7眼),瘢痕松解游离皮瓣移植同时行羊膜移植1例(1眼),瘢痕松解联合"Z"字皮瓣转位2例(3眼),瘢痕松解联合带蒂皮瓣转位1例(1眼);瘢痕松解联合眼轮匝肌蒂皮瓣修复1例(1眼),瘢痕松解联合睑板楔形切除联合双下眼睑成形术1例(2眼)。结果10例(15眼)手术后获得不同程度满意的外观和功能恢复。结论在眼睑瘢痕修复时,只要能使皮肤缺损和结膜囊完整性得到修复,瘢痕性眼睑畸形恢复眼睑功能及外观,效果良好。

Objective To investigate the clinical effects of surgical treatment for varied types of cicatrical blepharon deformities. Methods Ten patients （15 eyes） suffering from cicatrial blepharon deformities underwent surgical procedures, 4 cases （7 eyes） with free skin flap transfer, 1 case with free skin flap transfer and amniotic membrane grafting;2 cases with Z plasty;1 case with pedicled skin flap; 1 case with orbicularis oculi musculocutaneous flap;1 case （2 eyes） with wedged tarsal excision and blepharoplasty. Results All of 10 cases showed satisfactory appearance and eyelid function to certain extent after operations. Conclusions The repair of skin defect and conjunctival sac integrality is the key step in correction of cicaticial blepharon deformities, it may offer good eyelid position and funtion.