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目的探讨与重睑成形术同时进行的横切口内眦赘皮矫治术的治疗效果。设计回顾性病例系列。研究对象内眦赘皮患者103例。方法在内眦赘皮处采用横切口深部固定联合重睑成形术。术后随访3~6个月,评价手术效果。主要指标泪阜显露大小,睑裂长度,内眦间距,瘢痕程度。结果最后随诊时泪阜显露3/4者21例、2/3者56例、1/2者8例;睑裂长度30~31mm者5例、28~29mm者69例、26~27mm者11例;内眦间距32~33mm者61例、30~31mm者23例、29mm者1例;瘢痕不明显56例,较明显29例;内眦赘皮复发2例。随访流失16例。结论横切口内眦赘皮联合重睑整形术组织创伤小、术后瘢痕不明显,是矫正内眦赘皮简单而有效的方法。
Objective To investigate the therapeutic effect of transverse incision epicanthal surgery simultaneously with double eyelid plasty. Design retrospective case series. The study included 103 patients with endoscopic epicanthus. Methods In the epicanthus epidermis by transverse incision with deep double eyelid plasty. Follow-up 3 to 6 months after surgery, evaluation of surgical results. The main indicators of tear Fu revealed the size, palpebral fissure length, the inner loop spacing, the degree of scar. Results The final follow-up when the tear Fu Fu revealed 3/4 in 21 cases, 2/3 in 56 cases, 1/2 in 8 cases; palpebral fissure length of 30 to 31mm in 5 cases, 28 to 29mm in 69 cases, 26 to 27mm There were 61 cases with 32 ~ 33mm internal diameters, 23 cases with 30 ~ 31mm, 1 case with 29mm, 56 cases with obvious scar, and 29 cases with obvious scar. There were 2 cases with recurrence of epicanthus. Follow-up loss in 16 cases. Conclusion Transverse incision epidermis combined with double eyelid plastic surgery less trauma, scar is not obvious, is a simple and effective method to correct epicanthus.