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[伴有睑缘受累及结膜异位的烧伤后下睑瘢痕性内翻的手术治疗]

[Surgical treatment of postburn cicatricial inversions of the lower eyelids with involvement of the lid edge and conjunctival ectopia].

作者信息

Grishkevich V M, Moroz V Iu, Popova O V, Shishkov A L

出版信息

Vestn Oftalmol. 1989 Jul-Aug;105(4):33-8.

PMID:2800104
Abstract

Examinations of 30 patients with postburn cicatricial inversions of the lower lids have revealed involvement of the median half of the tarsus and ciliary edge in approximately 1/5 of them. Conjunctival growth and creeping of the conjunctiva on the edge and outward surface of the eyelid, manifesting as a red spot, are observed at the site of this involvement, where no eyelashes grow. The treatment of 6 patients with such condition has led the authors to a conclusion that ectopic conjunctiva is subject to tangential resection with plasty of the eyelid, its tarsus and ciliary edge, released from the cicatrices, with a single graft of split skin. The technique of surgery is described.

摘要

对30例烧伤后下睑瘢痕性内翻患者的检查发现,其中约1/5的患者睑板和睫缘的中间部分受累。在该受累部位,即无睫毛生长处,可观察到结膜生长以及结膜在眼睑边缘和外表面的爬行,表现为一个红斑。对6例患有这种情况的患者进行治疗后,作者得出结论,异位结膜需进行切线切除,并对眼睑、睑板和睫缘进行整形,将其从瘢痕中松解出来,并用一块中厚皮片移植。文中描述了手术技术。

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