摘要
目的探讨不同转位皮瓣联合异体巩膜植入在外伤性下睑缺损的临床效果。方法选择因外伤致下睑全层缺损程度大于1／2，导致眼睑闭合不全，下睑呈退缩状态〉2mm的8例，采用不同部位的转位皮瓣代替下睑前层，异体巩膜植入和分离的残留穹窿结膜代替下睑后层，从而矫正缺损的下睑。结果随访12～24个月，全部病例异体巩膜血管化，无溶解和排斥现象，皮肤活性好，下睑缘位于角膜下缘或稍高，无巩膜暴露，1例轻度下睑外翻，外观形态基本正常。结论对于外伤所致大于1／2的下睑全层缺损，异体巩膜植入联合转位皮瓣治疗是一种有效方法。
Objective To investigate the clinical effect of different transplantation skin flap combined with allogenic scleral graft to treat traumatic defect of lower eyelid. Methods 8 cases with fullthickness traumatic defect of lower eyelid of which more than 50% were defective and the retraction were more than 2mm due to hypophasis were selected. The defective lower eyelids were corrected by different site trans- plantation skin flap instead of anterior layer, allogenic sclera and dissociated remaining fornical conjunction instead of posterior layer . Results Following up for 12 to 24 months ,the scleral graft were vaeulized and no dissolving or rejection were found . The dermatal activity were well . Limbic palpebrales inferior were lo- cated on or mild higher than corneal inferior edge . No seleral exposure were found . 1 ease was mild ectro- pion while the others outlooks were normal. Conclusion Transplantation skin flap combined with allogenic seleral graft is effective to full-thickness defect lower eyelids of which more than 50% is defective resulted from trauma
出处
《中华眼外伤职业眼病杂志》
2012年第4期287-288,共2页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
下睑缺损
成形术
巩膜
异体
Defect, lower eyelid
Hasty
Selera, allogenic
