目的:分析减少眼睑裂伤晚期并发症的最好办法。方法:根据眼睑裂伤的部位和程度,采用不同的手术方法治疗236例机械性眼睑外伤。结果:所有236例均一期愈合,术后眼睑轻度外翻4例,轻度睑内翻1例。结论:对眼睑解剖的透彻理解,手术时密切注意眼睑的解剖层次,尽可能保留原有组织,减少组织缺损,注意细节处理,细致分层缝合,减少瘢痕形成,重建正常的解剖关系,恢复眼睑正常眼睑功能是成功的一期处理的关键。

AIM:To analyze that appropriate primary suture is the best way to reduce the late complications of eyelid kaceration.·METHODS:Two hundred and thirty-six cases of mechanical eyelid kaceration.·RESULTS:All of the 236 cases are primary healing.After the surgery,4 patients have mild reclinatio palpebrarum,1 patient has mild trichoma.·CONCLUSION:Recovering the functions of eyelid is to thoroughly understand the eyelid anatomy,operate the eyelid carefully about the anatomic compartments,possibly keep the original tissue,reduce the tissue defect,deal with the details carefully,stitch laminated meticulously,decrease forming scars,refound the normal anatomic relation.Those are the key of successful primary treatment.

R779.6