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目的:评估采用上睑板结膜瓣作为下睑肿瘤切除后缺损再造的临床效果。方法:在膨胀液的麻醉下对34例(34眼)下睑基底细胞癌进行彻底切除造成的大范围缺损,以上睑板结膜瓣作为衬里,残存下睑皮肤或眼面部皮肤作为前层进行再造。结果:随访8mo～5a以上的31例患者中,所有患者均存活,其外观及功能良好,无1例发生角膜炎、睑内、外翻畸形等并发症,美容效果满意。结论:应用上睑板结膜瓣及残存的下睑皮肤或眼面部皮肤滑行再造下睑是可取的。
OBJECTIVE: To evaluate the clinical effect of upper tarsal conjunctival flap as a defect reconstruction after lower eyelid tumor resection. Methods: A total of 34 cases (34 eyes) of lower-base basal cell carcinoma under extensive anesthesia were extensively resected with extensive tarsal conjunctival flaps as the lining and remnant of the lower eyelid or facial area as a front layer for reconstruction . Results: Of the 31 patients who were followed up for 8 months to more than 5 years, all patients survived. Their appearance and function were good. No one had complications such as keratitis, eyelid and valgus deformity. The cosmetic effect was satisfactory. CONCLUSIONS: It is advisable to reconstruct the lower eyelid with the upper tarsal conjunctiva flap and the remaining skin of the lower eyelid or gliding of the eye area.