改良Z成形术联合活血化瘀中药治疗重度内眦赘皮临床观察.docVIP

改良Z成形术联合活血化瘀中药治疗重度内眦赘皮临床观察[摘要]目的：观察改良Z成形术联合活血化瘀中药（田七、丹参）治疗重度内眦赘皮的临床疗效。方法：利用Z成形术的基本原理，明确固定标志，对重度内眦赘皮实施手术，手术当天开始服用活血化瘀中药，连续7天。结果：术后观察重度内眦赘皮的就医者，经6～12个月随访，术后赘皮消失、泪阜外露适度、睑裂开大并与内眦间距比例协调、内眦角形态良好、睑裂美观自然，所有就医者内眦处手术痕迹不显。结论：本改良Z成形术联合活血化瘀中药治疗重度内眦赘皮，术后效果好、无复发、手术痕迹不显，具有一定的临床应用价值。 [关键词]重度内眦赘皮；Z成形术；活血化瘀药 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2011）04-0557-02 Clinical observation of modified Z plasty methods combined with blood-activating and stasis-eliminating compound on severe epicanthoplasty ZHANG Jiang1,MENG Ling-jun2 （1.Out-patient Department,The Eighth Hospital of Tangshan, Tangshan 063000,Hebei, China;2.Department of Plastic＆Aesthetic Surgery, Tangshan Workers Hospital,Tangshan 063000,Hebei, China） Abstract:ObjectiveTo observe the curative effect of the method of modified Z plasty combined with blood-activating and stasis-eliminating compound on severe epicanthoplasty.MethodsBy applying its basic theorem, we concisely designed Z plasty. After affixing markers, intact and rational design proposal was yielded. The patients were treated with blood-activating and stasis-eliminating compound for 7 days after the surgery.ResultsAfter 6～12 months follow-up,29 cases in the group manifested good results with no obvious scar,and palpebral fissure, lacrimal caruncle, angle of eye medial are in harmony.ConclusionThe resultant scar is mild and relapse-free with no trail of operation. The results obtained by using modified Z plasty for epicanthoplasty are very satisfactory. We propose the clinical use of this technique combined with blood-activating and stasis-eliminating compound for correction epicanthal deformities with simplified manipulation and cosmetic effect. Key words:severe epicanthus; Z-plasty; blood-activating and stasis-eliminating compound 内眦赘皮是东方人常见的一种眼睑形态，发生率约53.6%，分为上睑型、内眦型、倒向型三种类，单睑人群中发生率更是高达70%以上[1]。尤其是重度内眦赘皮，由于在内眦部形成的纵皮肤蹼状皱褶将内眦角及泪阜遮盖，导致内眦间距假性增宽、睑裂短小，不仅影响眼睑形态美及容貌美，还给人以面部愚呆之感[2-3]。重度先天性内眦赘皮的矫正通常采用Mustarde法，但此方法手术后瘢痕十分明显，效果往往不尽人意[4]。2008年以来，我院采用改良单Z成形