Stallard法“Z”形皮瓣联合两种不同重睑术式矫正内眦赘皮疗效分析.docxVIP

Stallard法“ Z”形皮瓣联合两种不同重睑术式矫正内眦赘皮 疗效分析 ［摘要 ］目的：研究 ?缘切口和传统切口两种重睑成形术 同期行Stallard法“Z”形皮瓣修复内眦赘皮的临床效果。方 法：选取 2014年 6月-2016年 6月接受两种重睑成形术并同 期行Stallard法“ Z形皮瓣矫正内眦赘皮就医者各 50例， 观察两组就医者术后恢复时间、重睑线自然程度、瘢痕遗留 情况及内眦赘皮矫正效果。结果：睑缘切口重睑术操作较复 杂，时间较长，手术创伤小，术后反应轻，肿胀消退快，切 口瘢痕不明显。 传统切口重睑术手术操作简单， 手术时间短， 但是术后早期肿胀严重，恢复时间较长，闭眼时可以看到重 睑线瘢痕。两者分别联合 Stallard法“Z”形皮瓣矫正内眦赘 皮，行睑缘切口重睑术者满意率为 95%，传统切口重睑术者 满意率82%，差异有统计学意义（PvO.05）。结论：睑缘切口 重睑成形术虽然操作复杂，手术时间长，但是术后肿胀轻， 恢复时间短，瘢痕隐蔽。 Stallard法“ Z”形皮瓣联合两种重 睑术均可矫正内眦赘皮，但睑缘切口重睑术效果更佳。 ［关键词 ］内眦赘皮；睑缘切口；重睑成形术；瘢痕 ［中图分类号 ］R622 ［文献标志码 ］A ［文章编号 ］1008-6455 2018) 04-0034-04 Efficacy of Stallard “Z” Flap in the Treatment Epicanthal Combined with Two Approach of Double Eyelid Plasty CUI Zheng-jun1，KONG Yu2，HE Jie3，WANG Chang-yin1， MENG Qing-nan1， GUO Peng-fei1， ZOU Shi-bo1，GAO Ya1， LIU Jian-hong4 ( 1.Department of Burn and Reconstruction Surgery ， the First Affiliated Hospital of Zhengzhou University ， Zhengzhou 450052，Henan， China；2.Meiyi Plastic Surgery Hospital of Zhengzhou， Zhengzhou 450003， Henan， China； 3.Dongfang Plastic Surgery Hospital of Zhengzhou， Zhengzhou 450000， Henan， China；4.PLA Rocket Force General Hospita，l Beijing 100820，China) Abstract ： Objective To study the clinical value of the double eyelid plasty combined with Stallard “ Z” flap method in the treatment epicanthal fold. Methods From June 2014 to June 2016， 100 cases were performed double eyelid oplasty combined with Stallard “ Z” flaps in treatment epicanthal fold. 50 cases were conducted in the traditional double eyelid plasty ， and the other approach was eyelid incision. The postoperative follow-up was performed for 6-12 months. The recovery time ， natural degree ， scar， and epicanthus correction were observed. Results Double eyelid plasty in eyelid incision was complicated ， and cost long time ， but swollen was slight and scar was not obvious. Traditional double eyelid plasty was simple ， but swelling was severe after surgery. And the recovery time was long.The scar was obvious when closed eyes. Stallard m