显微手术在眼睑缺损修复与重建中的应用

Microsurgery in repair and reconstruction of coloboma of eyelid

目的对78例不同类型眼睑缺损修复与重建回顾性总结，了解显微手术应用的必要性。方法43例采用眼科显微手术器械，部分在手术显微镜下操作。35例采用普通手术器械在肉眼下操作。结果显微手术组创面全部I期愈合，眼睑外形良好。普通手术组1例延期愈合，7例遗留肉眼可见细小瘢痕。两组癫痕形成率P＜0．01。结论证明了显微手术在眼睑缺损的修复与重建中必要和可行。

In order to study the necessity and feasibility of microsurgery in repair and reconstruction of coloboma of eyelid. Method 78patients were contrally divieded into two groups . Microsurgeries wereused in 43 cases and routine operation in 35 cases . Results Study showthat the wound healed well in the group of microsurgery But there wasthe healing delay of wound in one case and the scar in 7 cases in thegroup of routine operation The formation of scar was less in the group ofmicrosurgery than that in the group of routine operation (P < 0.01).Conclusions Microsurgery in repair and reconstruction of incomplete eye lid is very necessary and feasible .