首页|分层缝合治疗眼睑全层裂伤的临床效果及预后分析

分层缝合治疗眼睑全层裂伤的临床效果及预后分析

扫码查看
目的 探讨分层缝合治疗眼睑全层裂伤的临床效果及预后分析.方法 纳入2023年3月-2024年3月淄博一四八医院眼科接收的眼睑全层裂伤患者147例,所有患者均采取分层缝合治疗,观察患者术后愈合情况、疼痛程度、上下眼睑距离、眼睑肌力等级及并发症.结果 147例(147处)患者眼睑全层裂伤,经缝合整复术后,愈合率为100%.上下泪管断裂者53例,术后51例吻合成功(96.27%);20例缺损>全长1/4者恢复良好17例(85.00%);12例缺损<全长1/4者恢复良好10例(83.33%).术后1d、3d、7d,患者VAS评分均低于手术前(P<0.05);术后患者上下眼睑距离短于手术前(P<0.05),眼睑肌力等级高于手术前(P<0.05);术后所有患者并发症发生率为8.84%.结论 采取分层缝合治疗眼睑全层裂伤效果显著,可促进患者创伤愈合,减少患者术后疼痛,改善眼睑功能其安全性较高,可持续推于临床.
Clinical Effect and Prognosis of Layered Suture in the Treatment of Total Eyelid Laceration
Objective To explore the clinical effect and prognosis analysis of layered suture treatment of total eyelid laceration.Methods A total of 147 patients with total eyelid laceration received in Zibo 148 Hospital from March 2023 to March 2024 were included,and all patients were treated with layered suture,comparing patients'postoperative healing,pain level,upper and lower eyelid distance,eyelid muscle strength grade and complications.Results The healing rate of 147 patients(147 locations)with full eyelid lacerations was 100%after suture revision.There were 53 cases of upper and lower lacrimal duct rupture,and 51 cases of postoperative anastomosis were successful(96.27%);20 cases of defects>1/4 of the total length recovered well in 17 cases(85.00%);12 cases of defects<1/4 of the total length recovered well in 10 cases(83.33%).At 1,3,and 7 d postoperatively,the patients'VAS scores were lower than those before surgery(P<0.05);the distance between the upper and lower eyelids of the patients was shorter than that before surgery(P<0.05),and the grade of eyelid muscle strength was higher than that before surgery(P<0.05);and the incidence of postoperative complications in all patients was 8.84%.Conclusion The effect of adopting layered suture for the treatment of total eyelid laceration is remarkable,which can promote the healing of trauma,reduce the postoperative pain of patients,improve eyelid function with high safety,and can be continuously pushed into the clinic.

Layered SutureTotal Eyelid LacerationScarringOcular Function

张姜芝、孙玉硕

展开 >

淄博一四八医院眼科,山东淄博,255000

分层缝合 眼睑全层裂伤 瘢痕 眼部功能

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(6)