[摘要]目的：探讨局部瘢痕皮瓣修复上睑皮肤瘢痕性缺损的效果。方法：烧伤、感染后的瘢痕疙瘩所致上睑皮肤瘢痕性缺损10例；采用保留瘢痕皮肤的瘢痕内剥除塑形手术方法，同时松解复位外翻的眼睑，术后曲安奈德瘢痕内注射2～5次。结果：除1例皮瓣坏死改善不明显外，其余病例瘢痕疙瘩和睑外翻完全矫正。随访3～12月，无复发，重睑形态良好。结论：瘢痕皮瓣是修复上睑皮肤瘢痕性缺损的良好办法。

    [关键词]瘢痕皮瓣；瘢痕疙瘩；曲安奈德

    [中图分类号]R622 [文献标语码]A [文章编号]1008-6455(2009)01-0052-02

    Scar flap for reconstruction of upper eyelid defects

    CHEN Juan,TIAN Zhi-guo,SHI Chuan,CHEN Qing,FU Tian-tian

    (1.Department of Hair Transplant, Zhongtie Tenth Bureau Second Company affiliated Hospital, Zhengzhou 450000, Henan,China; 2. Department of Plastic and Cosmetic Surgery,Zhongshan Hospital,Wuhan 430033,Hubei,China)

    Abstract： ObjectiveTo investigate the results of regional scar flap for reconstruction of upper eyelid defects following scar.MethodsThere were ten cases of upper eyelid defects following empyrosis or infection. The upper eyelid defects were reconstructed for scar flap following divesting the cicatricial tissue underneath.The everted eyelids were reposited. After operation, triamcinolone acetonide were injected into the upper eyelid scars for 2 times to 5 times.ResultsFollowing 3 to 12 months follow up, one patient had no obvious amendment.The rest patients's keloid and ectropion had been rectified well without recurrence.ConclusionThe scar flap for reconstruction of upper eyelid defects had good effects. ......