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目的探讨异体巩膜移植替代睑板修复眼睑全层大缺损的远期效果。方法对109例因肿瘤切除术或外伤造成的眼睑全层大缺损患者行异体巩膜移植替代睑板的眼睑重建术,并随访观察半年至25年。结果109例患者经眼睑重建术后,植片生长良好,功能正常,对眼球无刺激,对视功能无影响,肿瘤未见复发。结论异体巩膜移植替代睑板修复眼睑全层大缺损远期疗效确切,术后眼睑形态、功能恢复良好,不影响视功能,是一种理想的手术方式。
Objective To investigate the long-term effect of scleral transplantation for the replacement of tarsal plate to repair large eyelid defects. Methods 109 cases of eyelid full thickness defect due to tumor resection or trauma were treated with eyelid sclerosis instead of eyelid reconstruction. The patients were followed up for six months to 25 years. Results 109 cases of patients underwent eyelid reconstruction, the growth of well, normal function, no stimulation of the eye, no effect on visual function, no recurrence of the tumor. Conclusion Allogeneic scleral transplantation replaces the tarsal plate repair eyelid full-thickness large-scale long-term effect is exact, postoperative eyelid morphology, functional recovery is good, does not affect the visual function, is an ideal surgical approach.