眼睑肿瘤切除后不同眼睑缺损修补方式的疗效比较

Comparison of therapeutic effects of different eyelid defect repair methods after eyelid tumor resection

目的比较眼睑肿瘤切除后不同眼睑缺损修补方式的修复效果。方法回顾性分析90例眼睑恶性肿瘤患者的临床资料。所有患者行眼睑肿瘤切除术治疗,术后修复眼睑缺损,根据修复方式分为观察组(n=34)和传统组(n=56)。观察组采用异体巩膜移植修补,传统组采用自体唇黏膜和邻近皮瓣转移修补。比较2组患者的修复效果,修复前后眼睑形态及美容效果。比较2组术后1个月的并发症发生情况。结果修复后,观察组总有效率为94.12%,高于传统组的73.21%,差异有统计学意义(P<0.05)。修复后,2组眼睑裂高度、长度差值低于术前,且观察组低于传统组,差异有统计学意义(P<0.05)。修复后,观察组美容效果评分为(1.65±0.27)分,高于传统组的(1.36±0.20)分,差异有统计学意义(P<0.05)。修复后,观察组总并发症发生率为11.76%,低于传统组的30.36%,差异有统计学意义(P<0.05)。结论采用异体巩膜移植修复眼睑缺损的临床效果较佳,可有效改善眼睑形态和美容效果,且并发症发生率低。

Objective To compare the repair effects of different eyelid defect repair methods after eyelid tumor resection.Methods The clinical data of 90 patients with eyelid malignancies were retrospectively analyzed.All patients underwent eyelid tumor resection and eyelid defect was repaired after surgery.According to the repair method,they were divided into observation group(n=34)and traditional group(n=56).The observation group was repaired using allogeneic scleral transplantation,while the traditional group was repaired using autologous lip mucosa and adjacent skin flap transfer.The repair effects,eyelid morphology,and cosmetic effects before and after repair were compared between the two groups.The occurrence of complications was compared between the two groups at one month after surgery.Results After repair,the total effective rate of the observation group was 94.12%,which was higher than 73.21%of the traditional group,and the difference was statistically significant(P<0.05).After repair,the difference in eyelid fissure height and length of the two groups was lower than before surgery,and the observation group was lower than the traditional group(P<0.05).After repair,the cosmetic effect score of the observation group was(1.65±0.27),which was higher than(1.36±0.20)of the traditional group,and the difference was statistically significant(P<0.05).After repair,the total complication rate of the observation group was 11.76%,which was lower than 30.36%of the traditional group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of allogeneic scleral transplantation in repairing eyelid defects is better,which can effectively improve eyelid morphology and cosmetic effects,and reduce the incidence of complications.