摘要目的 探讨横切法内眦赘皮矫正同期行切开法重睑成形术的临床效果.方法 采用横切法,在新的内眦定点至原内眦角点横行直线切开,达原内眦角点后,沿下睑缘做平行浅弧形切口,行切口上下方皮下充分分离,松解去除错位异构的眼轮匝肌及增厚的组织,使内眦赘皮皮肤自然复位,必要时折叠缝合内眦韧带浅头,去除内眦切口颞侧的小“猫耳”,缝合切后口；常规行切开法重睑成形术,但重睑切口与内眦切口勿相连续.结果 临床应用258例,随访3～18个月,内眦赘皮消失,新内眦外形良好,瘢痕不明显,内眦赘皮无复发,重睑外形美观.结论 横切法内眦赘皮矫正同期行切开法重睑成形术,是矫治单睑伴内眦赘皮的一种简单而较为实用的理想方法,值得临床推广.

abstractsObjective To explore epicanthus correction by transverse incision method and concurrent double-eyelid incision operation.Methods The transverse straight-line incision was performed in new inner canthus to the original canthal corner point; after the original inner canthus corner point was reached,the oblique-line parallel incision was performed along the lower eyelid so that full subcutaneous separation was obtained on the upper and lower incision; the malpositioned isomerous orbicular muscle and thickened tissue were released and excised so that the epicanthus skin was naturally restored; the superficial head of the inner canthus ligament was folded and sutured when necessary ; after small "cat ears" at the temporal side of the inner canthal incision was removed,routine double eyelid plasty was then performed,but the double eyelid and the inner canthus incisions were not continuous.Results The procedures were clinically applied in 258 cases and followed up for 3-18 months,showing that the epicanthus has disappeared,new inner canthus was in good appearance,the scar was not obvious,recurrence of the epicanthus was not found and double eyelids were beautiful in appearance.Conclusions The epicanthus correction by transverse incision and concurrent double-eyelid plasty is a simple and ideal approach for correction of single-edged eyelid with epicanthus and it is worthy of clinical promotion.