改良Z形切口法矫正内眦赘皮的疗效观察

发布时间：2018-10-23 18:22

【摘要】：目的总结采用改良Z形切口法矫正内眦赘皮的疗效。方法 2013年9月—2015年3月,采用改良Z形切口法对93例内眦赘皮患者行内眦赘皮矫正术。女80例,男13例;年龄16~40岁,平均30岁。轻度内眦赘皮35例,中度54例,重度4例。64例伴单睑,29例伴不明显重睑。85例同期行重睑术,8例不明显重睑者单纯行内眦赘皮矫正术。结果术后患者切口均Ⅰ期愈合。患者均获随访,随访时间6~12个月,平均9个月。患者上睑无明显瘢痕;内眦部外观平整,泪阜显露适中,睑裂变长;内眦角与重睑线衔接流畅。患者均对效果满意。结论改良Z形切口法矫正内眦赘皮设计简单、操作方便,切口隐蔽、瘢痕不明显、内眦形态自然,能达到功能与形态完美结合的目的。
[Abstract]:Objective to summarize the effect of modified Z-shaped incision on epicanthus. Methods from September 2013 to March 2015, 93 patients with epicanthus were treated with modified Z incision. There were 80 females and 13 males, aged 1640 years with an average age of 30 years. Mild epicanthus was found in 35 cases, moderate in 54 cases, severe in 4 cases, with single eyelid in 64 cases, double eyelid in 29 cases, double eyelid in 85 cases, and epicanthus correction in 8 cases. Results all the incisions healed in one stage after operation. All patients were followed up for 6 ~ 12 months (mean 9 months). There was no obvious scar in upper eyelid, smooth appearance of inner canthus, moderate exposure of lacrimal caruncle, long fission of eyelid, smooth connection between angle of inner canthus and double eyelid line. All the patients were satisfied with the effect. Conclusion the modified Z incision method for epicanthus correction is simple in design, convenient in operation, concealed in incision, not obvious in scar, and natural in shape, which can achieve the purpose of perfect combination of function and morphology.
【作者单位】：潍坊医学院整形外科研究所;潍坊医学院整形外科医院整形外科;潍坊医学院附属医院皮肤科;
【基金】：山东省自然科学基金资助项目(ZR2014HL054) 山东省高等学校科技计划项目(J14LL08)
【分类号】：R779.6

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