王为农　李　斌

(第四军医大学唐都医院眼科西安710038)

王为农,1950年生,毕业于第四军医大学,现任第四军医大学附属二院眼科副主任医师、副教授,中华医学会西安市眼科分会常委。发表论文20余篇,参编《全军医学丛书》和《现代眼科治疗学》共2部,获全军科技进步三等奖2项。[摘要]目的:探索矫正内眦赘皮手术简便有效的方法。方法:对12例(24眼)单睑伴内眦赘皮的患者施行了在赘皮皱褶上做切口,切除赘皮下的肌肉组织,然后将切口缘缝接于深层组织的手术。结果:术后随访3个月～12个月,医患双方对手术效果很满意者8例,基本满意2例,1例有1侧赘皮矫正不完全,另1例在术后1个月随访时,左眼内眦赘皮复发。结论:本术式方法简单,适于矫正睑型或睑板型内眦赘皮。

[关键词]内眦赘皮矫正术

[中图分类号]R777.1[文献标识码]A[文章编号]1008-6455(2000)05-0375-02

RESECTION OF DEEP TISSUE IN CORRECTION OF EPICANTHUS

WANG WEI-nongLI Bin

(Depart Ophthalmology,Tangdu Hospital,Fourth Military

Medical University Xi竌n 710038)

[Abstract]Objective:To explore a new surgical technique for correction of epicanthusMethods:12 cases(24 eyes)with epicanthus and no upper lid furrow had undertaken operation.The operative procedure involves an incision on the epicanthal fold and removement of muscle beneath the fold while attaching the skin edges to deep tissues in an attampt to create a crease,which may extend into normal creases.All cases were followed up postoperatively for at least 3 months;six cases were followed up for more than 1 year.Results:On close follow-up,prognosis was judged by both the patient and surgon to be excellent in eight cases and fair in two.One case was corrected incompletely on one side.A recurrence of the epicanthal fold was seen on the left side of another patient on a follow up visit at l month postoperatively.Conclusion:this approach provides a simple and effective way to correct the epicanthus palpebralis or epicanthus tarsalis.

[Key words]EpicanthusCorrection

内眦赘皮(epicanthus)是遮盖内眦部的垂直半月皱褶^[1],各种族儿童均可发生,但在东方人中则尤为常见。大部分人随着颅面部的发育成长,内眦赘皮趋于自然消失,而部分人则终生存在。有内眦赘皮者行重睑术中如不予以处理,术后内眦赘皮愈加明显达不到美学效果。ツ陧鲎钙さ闹瘟剖跏浇隙,但效果和后遗症一直令人困扰。笔者采用Jordan竤 方法^[2],对睑型和睑板型内眦赘皮者12例进行了治疗,方法简便,效果确切,报告如下。

1临床资料

1990年～1998年共治疗要求行重睑术而伴内眦赘皮者12例24眼,其中男2例,女10例:年龄18岁～40岁。4例为睑型8例为睑板型。睑板型中有3例为先天性上睑下垂同时行提上睑肌缩短术。……