横切法矫正内眦赘皮联合生物蛋白线切开法行重睑术(1)
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[摘要]目的：寻求一损伤小、痕迹轻的内眦赘皮矫正与重睑成形同期完成的手术方法。方法：本组对178例伴有轻中程度内眦赘皮的单睑患者,均采用横形切开内眦赘皮斜下切开下眼睑皮肤同时切断部分内眦韧带，同时联合切开法重睑术。术中皮瓣应用生物蛋白线无张力缝合，以期求得对组织损伤更小、切口痕迹更轻，重睑的设计方法同常规。结果：178例受术者随访6个月以上,患者内眦切口均无明显瘢痕,无复发，重睑形态自然，效果满意。结论：横切法矫正内眦赘皮联合生物蛋白线重睑术是一种简单有效的内眦赘皮矫正方法,其与其他内眦赘皮矫正术相比较有明显的损伤小，切口无明显瘢痕，维持亚洲人眼形，恢复快、操作简单等优点。
[关键词]重睑术；内眦赘皮；横切法；生物蛋白线
[中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2011)03-0384-03
Crosscut method correction epicanthus joint biologic protein line double eyelid resection
CAI Li,PANG Jian-hua,LI Ping,AN Ke-ren,LI Feng-hao
(Department of Plastic Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang,China)
Abstract: Objective To seek a surgical method which damage minimum and traces the lightest and that the epicanthus with double eyelid forming are finished at the same time. Methods There are 178 patiens with foldest eyelid combined with epicanthus in mild-to-moderate degree in this group.They were all treated with crosscut method correction epicanthus.Inclined cutting down the lower eyelid skin and cutting off part of the endocanthion ligaments at the same time, while united cut method of double eyelid resection. In order to seek a surgical method which damage minimum and traces the lightest to the tissue,Intraoperative flap was sutured by biological proteins line without tension.the double eyelid design method was same to the routine. Results These 178 cases were followed up for above 6 months. No obvious scar in epicanthus incision and no recurrence. All patients postoperative achieved success with nature shaped double eyelid and got satisfactory effects. Conclusion Crosscut method correction epicanthus joint biologic protein line double eyelid resection is a simply and effective method. Compared with the other epicanthus correcting, it has obvious little injury, incision without obvious scar, maintain Asian eye form,quick recovery,simple operation etc.
Key words: double eyelid resection; epicanthus; crosscut method correction; biologic protein line
内眦赘皮是遮盖内眦部垂直的半月形皮肤皱褶，以前有人称之为蒙古皱襞，是临床上常见的容貌畸形 ......
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