邻近皮瓣修复术对眼睑肿物切除患者瘢痕情况及生活质量的影响
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1.盐城市大丰人民医院眼科 2. 3.江苏盐城

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Clinical study on the repair of neighbouring flaps after eyelid tumour resection
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    摘要:

    【】 目的 研究眼睑肿物切除术后邻近皮瓣修复的临床效果。方法 以盐城市大丰人民医院2023年1月-2024年12月接受眼睑肿物切除术治疗的患者62例作为研究对象,随机数字表法分组,对照组(31例)术后直接缝合处理;观察组(31例)术后实施邻近皮瓣修复处理;记录比较两组患者围手术指标,评估两组患者手术前后瘢痕情况,观察并统计两组患者术后并发症发生率。结果 观察组术后泪膜破裂时间明显长于对照组,泪河高度高于对照组(p<0.05)。经评估,观察组患者术后瘢痕评分均低于对照组(p<0.05)。观察组患者术后并发症总发生率低于对照组(p<0.05)。结论 眼睑肿物切除术后实施邻近皮瓣修复处理能够有效改善临床指标,修复瘢痕,减少并发症,值得借鉴。

    Abstract:

    Objective To study the clinical effect of repairing adjacent flaps after eyelid tumour resection. Methods: Taking 62 patients treated by eyelid tumour resection from January 2023 to December 2024 in Yancheng City Dafeng People"s Hospital as the research subjects, the random numbers were grouped. The control group (31 cases) was directly sutured after surgery; the observation group (31 cases) was repaired with neighbouring flaps after surgery; Record and compare the perioperative indicators of the two groups of patients, evaluate the scars of the two groups of patients before and after surgery, and observe and count the incidence of postoperative complications of the two groups of patients. Results The rupture time of the lacrimal membrane after surgery in the observation group was significantly longer than that of the control group, and the height of the lacrimal membrane was higher than that of the control group (p<0.05). After evaluation, the postoperative scar score of the patients in the observation group was lower than that of the control group (p<0.05). The total incidence of postoperative complications in the observation group was lower than that of the control group (p<0.05). Conclusion: After eyelid tumour resection, the repair treatment of neighbouring flaps can effectively improve clinical indicators, repair scars, and reduce complications, which is worth learning from.

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  • 收稿日期:2025-06-25
  • 最后修改日期:2025-07-01
  • 录用日期:2025-07-01
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