Z成形术联合内眦部眼轮匝肌切除矫正内眦赘皮的临床应用研究

摘要

目的:探讨Z成形术联合内眦部眼轮匝肌切除矫正内眦赘皮的临床疗效.方法:选取笔者科室2014年1月-2016年6月收治的内眦赘皮60例,并分为观察组和对照组,每组各30例.对照组患者行Z形术矫正内眦赘皮;观察组采用Z成形术联合内眦部眼轮匝肌切除矫正内眦赘皮,两组患者均同期行切开法重睑术.比较两组术前和术后患者睑裂长度(HLFL)、内眦间距(ICD),以及睑裂长度和内眦间距比值(HLFL/ICD).结果:对照组术后睑裂长度和内眦间距比值(HLFL/ICD)为0.87±0.04,较术前睑裂长度和内眦间距比值(HLFL/ICD)有所改善(P<0.05);观察组术后睑裂长度和内眦间距比值(HLFL/ICD)为0.90±0.06,较术前睑裂长度和内眦间距比值(HLFL/ICD)有所改善(P<0.05);术后观察组HLFL/ICD的平均比值大于对照组术前及术后的HLFL/ICD平均比值,差异具有统计学意义(P<0.05).随访6个月,对照组有1例患者出现内眦赘皮复发,观察组所有患者均无感染、瘢痕增生及内眦赘皮复发情况的发生.结论:Z成形术联合内眦部眼轮匝肌切除矫正内眦赘皮,能够有效矫正内眦赘皮,达到重睑美学效果,同时避免内眦赘皮复发,瘢痕增生,值得临床推广应用.%Objective To investigate the clinical effect of Z plasty combined with orbicularis oculi muscle resection and correction of the inner canthus. Methods From January 2014 to June 2016 in our hospital were treated 60 cases of patients with internal fixation, and divided into observation group, each group of each group of 30 cases. The control group underwent Z surgery for correction of epicanthus, the observation group was treated with Z plasty combined with canthal orbicularis muscle resection and correction of epicanthus, two patients underwent double eyelid operation. The ratio of palpebral fissure length(HLFL), medial canthus distance (ICD), and the ratio of palpebral fissure length to inner canthus distance(HLFL/ ICD) were compared between the two groups before and after surgery. Results In the control group, postoperative palpebral fissure length and inner canthal distance ratio (HLFL/ICD) was 0.87±0.04, compared with the preoperative palpebral fissure length and inner canthal distance ratio(HLFL/ICD) improved(P<0.05). The patients in the observation group after the palpebral fissure length and inner canthal distance ratio(HLFL/ICD) was 0.90± 0.06, compared with the preoperative palpebral fissure length and inner canthal distance ratio(HLFL/ICD) improved(P<0.05). Postoperative observation group average ratio of HLFL/ICD average ratio is greater than that of the control group before and after surgery, the difference was statistically significant (P<0.05). Followed up for 6 months, the control group, there were 1 cases of recurrence of the disease, all patients in the observation group were no infection, scar hyperplasia and recurrence of the recurrence of the disease. Conclusion Z plasty combined with canthal orbicularis muscle resection and correction of epicanthus, can effectively correct the epicanthus, achieve aesthetic effect and avoid the recurrence of the double eyelid, epicanthus, scar hyperplasia, worthy of clinical application.