摘要目的 探讨采用尼龙线内外眦眶骨膜固定辅助植皮的方法,修复复发性瘢痕性下睑外翻的临床效果.方法 手术在局麻下进行,切除瘢痕、松解挛缩,使下睑在无张力下完全复位,将尼龙线连续置入睑板上缘的筋膜组织中,两侧分别固定于内外眦外上方的眶骨膜上,同时下睑创面以全厚皮片植皮覆盖.结果 共修复12例患者19只眼,术后伤口均一期愈合,皮片成活良好.术后随访6～24个月,下睑均复位良好,无复发,无明显并发症发生.结论 尼龙线内外眦眶骨膜固定辅助植皮技术,是一种有效的治疗复发性瘢痕性下睑外翻的手术方法.

abstractsObjective To investigate the long-time effects of nylon fixation at the internal and external canthus combined with skin graft for recurrent lower eyelids ectropion.Methods Under local anesthesia,the cicatricial contraction was released to repostion the lower eyelid.Then nylon thread was implanted in the fascial tissue at the upper margin of tarsus and was fixed on the periosteum at the internal and external canthus.The skin graft was applied on the wound of lower eyelids.Results 12 patients with lower eyelids ectropion at 19 sides were treated with primary healing.The patients were followed up for 6-24 months.All cases were satisfied with functional and cosmetic results.No complication and no recurrence happened.Conclusions The technique of nylon fixation at the internal and external canthus combined with skin graft is an effective method for recurrent lower eyelids ectropion.