摘要
目的观察同种异体睑板联合自体睑板结膜瓣在修复眼睑缺损的效果。方法回顾性分析31例眼睑肿瘤切除术后全层眼睑缺损患者的病例资料,后层缺损联合采用异体睑板和睑板结膜瓣进行修复,前层缺损采用滑行或旋转皮瓣进行修复,随访6个月至2年。结果术后所有患者眼睑形态及功能恢复良好,睑裂基本对称,眼睑活动好,无排异反应,无上睑下垂及下睑退缩等并发症出现。结论异体睑板具有良好的形态稳定性,无排异反应,联合睑板结膜瓣修复眼睑缺损效果确切。
Objective To study the use of allogeneic tasal plate associating with autologous tarso conjunctival flapinstead of tarsus and clinical effects in repairing tarsus defect.Methods This was a retrospective analysis of eyelid defects reconstruction in 31 patients with eyelid defect following the excision of the eyelid tumors.All eyelid defects were restored with allogeneic tasal plate associating with autologous tarso conjunctival flap as the posterior layer of the eyelid and rooted musculocutaneous flap as the anterior layer of the eyelid,followed up from six months to two years.Results All reconstructed eyelids showed a satisfactory appearance with favourable function,without rejection reaction,deformities,entropion and ectropion.Allogeneic tasal plate slices transplanted in met no absorption or shift.Conclusion Allogeneic tasal plate associating with autologous tarso conjunctival flap was an ideal tarsus substitute,which possessed satisfactory state of stability with definite and good outcome in repairing eyelid defects.
出处
《空军医学杂志》
2015年第3期175-177,共3页
Medical Journal of Air Force
关键词
异体睑板
睑板结膜瓣
眼睑缺损
修复
Tasal plate
Tarso conjunctival flap
Eyelid defect
Reparation
