摘要
目的探讨分层缝合治疗眼睑全层裂伤的临床效果及预后分析。方法纳入2023年3月-2024年3月淄博一四八医院眼科接收的眼睑全层裂伤患者147例,所有患者均采取分层缝合治疗,观察患者术后愈合情况、疼痛程度、上下眼睑距离、眼睑肌力等级及并发症。结果147例(147处)患者眼睑全层裂伤,经缝合整复术后,愈合率为100%。上下泪管断裂者53例,术后51例吻合成功(96.27%);20例缺损>全长1/4者恢复良好17例(85.00%);12例缺损<全长1/4者恢复良好10例(83.33%)。术后1 d、3 d、7 d,患者VAS评分均低于手术前(P<0.05);术后患者上下眼睑距离短于手术前(P<0.05),眼睑肌力等级高于手术前(P<0.05);术后所有患者并发症发生率为8.84%。结论采取分层缝合治疗眼睑全层裂伤效果显著,可促进患者创伤愈合,减少患者术后疼痛,改善眼睑功能其安全性较高,可持续推于临床。
Objective To explore the clinical effect and prognosis analysis of layered suture treatment of total eyelid laceration.Methods A total of 147 patients with total eyelid laceration received in Zibo 148 Hospital from March 2023 to March 2024 wereA total of 147 patients with total eyelid laceration received in Zibo 148 Hospital from March 2023 to March 2024 were included,and all patients were treated with layered suture,comparing patients'postoperative healing,pain level,upper and lower eyelidincluded,and all patients were treated with layered suture,comparing patients'postoperative healing,pain level,upper and lower eyelid distance,eyelid muscle strength grade and complications.distance,eyelid muscle strength grade and complications.Results The healing rate of 147 patients(147 locations)with full eyelidThe healing rate of 147 patients(147 locations)with full eyelid lacerations was 100%after suture revision.There were 53 cases of upper and lower lacrimal duct rupture,and 51 cases of postoperativelacerations was 100%after suture revision.There were 53 cases of upper and lower lacrimal duct rupture,and 51 cases of postoperative anastomosis were successful(96.27%);20 cases of defects>1/4 of the total length recovered well in 17 cases(85.00%);12 cases ofanastomosis were successful(96.27%);20 cases of defects>1/4 of the total length recovered well in 17 cases(85.00%);12 cases of defects<1/4 of the total length recovered well in 10 cases(83.33%).At 1,3,and 7 d postoperatively,the patients'VAS scores weredefects<1/4 of the total length recovered well in 10 cases(83.33%).At 1,3,and 7 d postoperatively,the patients'VAS scores were lower than those before surgery(lower than those before surgery(P<0.05);the distance between the upper and lower eyelids of the patients was shorter than that<0.05);the distance between the upper and lower eyelids of the patients was shorter than that before surgery(before surgery(P<0.05),and the grade of eyelid muscle strength was higher than that before surgery(<0.05),and the grade of eyelid musc
作者
张姜芝
孙玉硕
ZHANG Jiang-zhi;SUN Yu-shuo(Department of Ophthalmology,Zibo 148 Hospital,Shandong Province 255000,China)
出处
《中国医疗美容》
2024年第6期4-7,共4页
China Medical Cosmetology
关键词
分层缝合
眼睑全层裂伤
瘢痕
眼部功能
Layered Suture
Total Eyelid Laceration
Scarring
Ocular FunctionLayered Suture
Total Eyelid Laceration
Scarring
Ocular Function
