邻近皮瓣转移治疗瘢痕性睑外翻45例效果观察.pdfVIP

·临床医学· 2016年9月30日 第1卷第18期 临床医学研究与实践 邻近皮瓣转移治疗瘢痕性睑外翻45 例效果观察 武崇高 （ 江苏省盐城市艾美莉整形美容医院，江苏 盐城，224000 ） 摘要：目的探讨邻近皮瓣转移治疗瘢痕性睑外翻的方法与疗效。方法 选取45 例瘢痕性睑外翻患者，对这些患者进行临床 上的评估后，施行邻近皮瓣转移的修复性手术，术后观察手术的临床疗效，并随访 1 年检查有无睑外翻复发的情况。结果45 例瘢痕性睑外翻的患者在进行了邻近皮瓣转移治疗的手术后，43 例患者的瘢痕性睑外翻的情况都得到了矫正，治疗成功率 为95.6％ ，有2 例患者术后出现了皮瓣感染和坏死，占研究总例数的4.4％ 。术后随访的1 年内，44 例患者均恢复正常，无睑 外翻的复发，供区瘢痕不明显，占研究总例数的97.8％ ；有1 例患者在术后4 个月的时候出现睑外翻现象，占研究总例数的 2.2％ 。结论在临床上对瘢痕性睑外翻的患者进行邻近皮瓣转移治疗，疗效显著，在术后随访中其复发的概率也很小，此种疗 法应当在临床上得到推广与更为广泛的应用。 关键词： 瘢痕性睑外翻；皮瓣转移；皮瓣感染 中图分类号： 文献标志码： 文章编号： R779.6 A 2096 1413(2016)18 0067 02 Efficacy of adjacent skin flap transfer to 45 cases of cicatricial ectropion patients WU Chong-gao (Emily Plastic and Cosmetic Hospital, Yancheng 224000, China) ABSTRACT: Objective To explore the method and efficacy of adjacent flap transfer for the treatment of cicatricial ectropion patients. Methods Forty-five cases of patients with cicatricial ectropion were chosen and the clinical assessment of these patients were carried out. The patients all received adjacent skin flap transfer treatment, the clinical efficacy were observed and a one year follow-up on checking the recurrence of lower eyelid ectropion were carried out too. Results After the adjacent skin flap transfer surgery, the situation of cicatricial ectropion in 43 cases of patients were rectified, the success rate of this treatment was 95.6%. However, flap infection and necrosis occurred in the rest 2 cases of patients were occurred, which accounted for 4.4% of the total number. After the 1 year follow-up, 44 patients were restored to nor