植皮联合重睑术修复瘢痕性上睑外翻

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

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。

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.