三种术式治疗内眦赘皮结合小切口重睑术的临床研究.docVIP

三种术式治疗内眦赘皮结合小切口重睑术的临床研究 李曾显，姜绍秋，袁希，柴琳琳，刘正茂，毕胜，曹川，李世荣 （第三军医大学西南医院整形美容外科，重庆400038） 【摘要】目的：分别探讨3种术式治疗内眦赘皮的疗效，通过三种手术方法追求一种简单有效术后切口较隐蔽，瘢痕较小的内眦赘皮矫正方法。方法：将双侧单睑80例患者分为Ａ、Ｂ、Ｃ3组，Ａ组25例50只眼采用“Z”成形术矫正内眦赘皮，Ｂ组25例50只眼采用传统“Y-V”成形术矫正内眦赘皮，Ｃ组30例60只眼采用改良Y-V成形术矫正内眦赘皮，观察３种术式的疗效。结果：Ａ组25例外观明显改善，其中2例单侧复发， 8例术后瘢痕较明显；Ｂ组采用传统“Y-V”成形内眦赘皮矫正及同期行小切口重睑成形术，术后虽睑外形自然，睑闭合自然，但随访25例患者其中12例瘢痕较明显；Ｃ组采用改良Y-V成形术矫正内眦赘皮，随访3~24个月，术后无一例出现增生性瘢痕，受术者均对手术效果感到满意。结论：3种治疗方法对内眦赘皮均有效。采用AB组治疗内眦赘皮的设计方法较为复杂，术后瘢痕增生明显，但小切口重睑术结合改良Y-V成形内眦开大术矫正效果好，方法简单，术后切口隐蔽，形态良好，瘢痕增生不明显。 【 abstract 】 objective: to study the curative effect of three kinds of surgical treatment of epicanthus, through three surgical methods is hidden, the pursuit of a simple and effective postoperative incision scar small epicanthus correction method.Methods: double side single eyelid, 80 patients divided into A, B and C3 group, A group of 25 cases 50 eyes with Z plasty correction epicanthus, B group of 25 cases 50 eyes in traditional Y - V plasty correction epicanthus, 30 cases of group C 60 eye modified Y - V plasty correction epicanthus, to observe the curative effect of three kinds of operation.Result: 25 cases of group A appearance obviously improved, 2 cases of unilateral recurrence, 8 cases of postoperative scar more obvious;Group B with traditional Y - V forming epicanthus correction and the same period of heavy eyelid line of small incision, postoperative eyelid appearance nature, eyelid closure is natural, but follow-up of 25 patients, 12 cases of scar is obvious;Group C modified Y - V plasty correction epicanthus, followed up for 3 ~ 24 months, no postoperative of hyperplastic scar, the subjects were satisfied with the surgical effect.Conclusion: the three kinds of inner canthus flabby skin treatment method are effective.Use AB group design method for the treatment of epicanthus is relatively complex, postoperative scar hyperplasia, but small incision double eyelid surgery combined with modified Y - V shape angular up corrective effect is good, operation m