目的 :评价使用从上眼睑的灰线切开所产生的睑板结膜瓣行下眼睑恶性肿瘤切除后眼睑再造术的可行性和可靠性。方法 :对 19例下眼睑恶性肿瘤患者行肿物切除后据眼睑缺损的大小分别施行不同的眼睑成形术。结果 :19例患者均效果满意。基本做到眼睑活动自如 ,眼睑闭合完全 ,外观除肿瘤切除部位睫毛缺损外 ,基本恢复原样。结论 :使用从眼睑的灰线切开产生的睑板结膜瓣行眼睑再造术相对简单 ,易行 ,术后上、下睑缘血供良好 ,眼睑的结构和功能基本正常 ,并未增加术后并发症 PURPOSE: To evaluate the feasibility and reliability of eyelid reconstruction following eyelid malignancy using the tarsal conjunctival flap created by the gray line incision of the upper eyelid. Methods: Nineteen patients with lower eyelid malignancies were treated with different eyelid plasty according to the size of eyelid defect after tumor resection. Results: All 19 patients were satisfied. The basic eyelid activity freely, eyelid closed completely, except for the appearance of tumor resection site eyelash defects, the basic recovery of the original. Conclusions: Eyelid reconstructive surgery using the tarsal conjunctiva flap produced by the gray line incision of the eyelid is relatively simple and easy to perform. The blood supply to the superior and inferior eyelids is good and the structure and function of the eyelid are basically normal without postoperative increase complication