摘要
目的：观察异体羊膜、巩膜及自体皮肤组成的复合材料在眼烧伤后眼睑再造术中的疗效及影响手术成败的因素。方法：对2001-02／2005-12我院52例（53眼）热、化学烧伤所致的眼睑挛缩、眼睑闭合不全用异体羊膜、巩膜、自体游离皮肤移植行部分眼睑上睑再造。其中酸烧伤17例（17眼），碱烧伤12例（12眼），热烧伤23例（24眼）。术中全层切开眼睑，用羊膜、巩膜、游离皮肤分别代替结膜、睑板和眼睑皮肤，置于切口中对位间断缝合以修复眼睑缺损面积。术后观察3-20mo。结果：术后40例（41眼）眼睑恢复功能，12例（12眼）眼睑再造失败。其中8例（8眼）仍有眼睑挛缩、部分眼睑闭合不全；1例（1眼）上睑成角畸形；1例（1眼）上睑下垂；2例（2眼）移植物坏死脱落。结论：用异体羊膜、巩膜、自体游离皮肤组成的复合材料行眼睑再造，手术材料来源广泛，是治疗烧伤引起眼睑挛缩的有效途径。
AIM： To evaluate the clinical effect of amniotic membrane, allosclera and self-skin on eyelid reconstruction after chemical and thermal burn of eyes, and to analyze factors influencing the surgery. METHODS： From February 2001 to December 2005, 52 cases （53 eyes） with eyelid defects such as blepharopasm and hypophasis after chemical and thermal burn underwent eyelid reconstruction through amniotic membrane, allosclera and self-skin. The injryt was caused by acid burn in 17 cases （17 eyes）, alkaline burn in 12 cases （12 eyes） ,thermal burn in 23 cases （24 eyes）. Full thickness eyelids were incised and amnion, allosclera and self-skin substituted for conjunctiva, tarsal plate and eyelid skin respectively. Interrupted suture at appropriate sites was required to repair eyelid defects. The follow-yu lasted for 3 to 20 months. RESULTS： The appearance and function of eyelids in 40 cases （41 eyes） were almost normal after eyelid reconstruction with composite material. Eyelid reconstruction failed in 12 cases （12 eyes）, of which 8 cases （8 eyes） still had blepharospasm and hypophasis; 1 case （1 eye） had upper eyelid angle malformation; 1 case （1 eye） had ptosis; 2 cases （2 eyes） had graft necrosis and defluxion, The infection was not observed during the follow-up, CONCLUSION： The eyelid reconstruction using composite material composed of amniotic membrane, allosclera and skin flap was easy-to-operate and has satisfactory clinical effect, particularly in cases with severe defect and severe cicatricial retraction.
出处
《国际眼科杂志》
CAS
2007年第6期1765-1766,共2页
International Eye Science
关键词
烧伤
眼睑再造
eyelid reconstruction
burn
