横切法与双三角瓣法成形术修复内眦赘皮的比较

姚明华++玛婕+保明惠

【摘要】目的 比较横切法与双三角瓣法成形术修复内眦赘皮的效果。 方法 对30例上睑型、睑板型和倒向型3类内眦赘皮的患者，每型10例，用横切法和双三角瓣法成形术分别对同型中的5例进行矫正。 结果 横切法解除内眦赘皮彻底，调整解除的程度易掌握。切口少、瘢痕少是其特点。术毕内眦外形与几个月后的自然外形之间有一个逐渐恢复的改变过程。双三角瓣法对不同类型采用适合其类型特点的方法，即时显现出满意的修复效果。结论 横切法是一种设计简单、操作简便、对各型都有确切效果的方法。

【关键词】横切法成形术；双三角瓣法成形术；内眦赘皮；修复；比较

Comparison of cross cutting method and the double triangular flap plasty repair epicanthus

YaoMinghua Ma JieBao Minghui

Kunming Yan'an Hospital , JCI surgery hospital . Kunming 650051

【Abstract】0bjective: section method and double triangular flap plasty repair epicanthus effect. Methods 30 cases of upper eyelid, tarsal plate type and backward type 3 kinds of epicanthus patients, each type in 10 cases, were of the same type in 5 cases were corrected by cutting method and double triangular flap forming. The results section method relieves epicanthus completely, adjust the release degree easy to master. Incision scar less, less is its characteristic. There is a gradual recovery process of change between Bine and shape after a few months of natural appearance. Method of double triangular flap method suitable for the characteristics for different types of use, instant show satisfactory repair effect. Conclusion crosscut method is a method of simple design, convenient operation, each type has the exact effect.

【 key words 】section method angioplasty; double triangular flap plasty; epicanthus; repair; comparison

【中图分类号】R622【文献标识码】A 【文章编号】2095-6851（2014）062004年以来，我们对30例上睑型、睑板型和倒向型3类内眦赘皮的患者，每型10例，用横切法和双三角瓣法成形术分别对同型中的5例进行矫正，其结果对不同类型选择适合的手术方法有意义。

1临床资料

11一般资料 ：本组10例上睑型； 10睑板型，10例倒向型。年龄15～36岁，均为女性。

12手术方法：

12.1横切法

设计：三种类均采用同样的设计方法［2］即：1、在赘皮边缘的眼裂中间线处定A点。牵开赘皮所见的，距内眦4毫米的部位定B点，并在放回赘皮后的赘皮上标出B点相应点B。联结AB两点连线（此线与眼裂中间线重合）。以此线为基线在赘皮边缘上上移C点，使与CB与AB两线间夹角呈40度角。（图1）

操作：局麻下牵引赘皮边缘下全层剪开CB线，剪刀平行分离赘皮使松解。缝合BB使重合，按去猫耳的方法修剪下方多余的赘皮，缝合伤口。……