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异体巩膜植入联合“Z”形皮瓣治疗陈旧性外伤性下睑退缩 被引量:6

Clinical study of implantation of preserved sclera combined with Z-PLASTY in traumatic eyelid retraction
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摘要 目的探讨异体巩膜植入联合“Z”形皮瓣治疗陈旧性外伤性下睑退缩的临床疗效。方法伤后5—14个月用异体巩膜植入联合“Z”形皮瓣治疗12例(12眼)陈旧性外伤性下睑退缩,术后自静脉及滴眼途径给予抗感染抗炎治疗。结果术后随访8—12个月,9眼单次手术后获得良好的外观和功能恢复,1眼经2次手术后获得满意的外观和功能,另2眼(16.67%)单次手术后效果不佳但未再手术治疗。结论异体巩膜植入联合“Z”形皮瓣是治疗陈旧性外伤性下睑退缩的一种有效方法。 Objective To assess the clinical effect of implan- tation of preserved sclera combined with Z-PLASTY in traumatic eyelid retraction. Methods Twelve cases of eyes with traumatic eyelid retraction had been treated with implantation of preserved sclera combined with Z-PLASTY, all cases in this study received intravenous and topical medications antibiotics. Results All patients were followed up 8 to 12 months. 9 were male (75%) and 3 were female (25%) among the 12 patients. The average age of the patients was (22.25 ±11.80) years and in the age between 11 to 52. The time from the development of the first surgery was 5-14 months. Nature looking appearance and nature function were found in 9 cases(75 % ), 1 cases(8.33 % ) received the same result after the second surgery and 2 cases had poor result. Conclusion Implantation of preserved sclera combined with Z-PLASTY is an elfective method on the surgical treatment of traumatic eyelid retraction.
出处 《眼外伤职业眼病杂志》 2009年第6期434-436,共3页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 眼睑退缩 异体巩膜 “Z”形皮瓣 eyelid retraction preserved selera Z-PLASTY
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