严重烧伤后瘢痕性睑外翻的治疗体会

摘要

Objective:To investigate rational methods to repair different type of cicatricial ectropion .Methods:20 patients with different type and degree of cicatricial ectropion were repaired with the method of simple skin grafting,nasolabial groove skin flap pedicled with inner canthus vessels,posterior auricular refluxing axial skin flap or musculus dormitator skin flap.Results:After 3-6 months follow—up observation all patients got good repaired effects.Necrobiosis occurred in distal skin flap of one patient with posterior auricular refluxing axial skin flap method.Conclusion:Cicatricial ectropion was complicated.Appropriate method should be applied to different cicatricial ectropion to achieve good results.%目的：探讨面部严重烧伤后导致不同程度瘢痕性睑外翻的修复方法。方法：对20例烧伤后不同程度的瘢痕性睑外翻，采用内眦血管蒂鼻唇沟皮瓣、眼轮匝肌皮瓣修复及瘢痕松解植皮修复。结果：皮片局部皮瓣均一期成活，1例返流轴型耳后岛状皮瓣术后皮瓣远端出现表皮坏死，经换药后创面愈合。随访3～10月，眼睑外翻均得到充分矫正，效果良好。结论：瘢痕性睑外翻病情复杂多样，须根据具体情况采用恰当方法，可取得良好效果。