目的:复原脱垂的泪腺,并矫正其带来的"肿眼泡"。方法:确定脱垂泪腺后,局部前设计皮肤切口,标记出切除的部分皮肤,术中切除其内部组织,稳固脱垂泪腺,完好重睑缝线。结果:泪腺脱垂33例66眼中,10例部分切除泪腺,而Schirmer试验术前正常,术后稍减少。10例单纯泪腺切除,未作其他处理,术后"肿眼泡"外观矫正不满意;有2例轻症者,只作结膜、泪腺、骨膜、眼睑"U"形线圈褥式悬吊术;余下11例均做皮肤切口,切除多余的皮肤、皮下组织,复位脱垂的泪腺,眶膈缩短,外型满意。结论:泪腺脱垂手术恢复泪腺解剖位置,复原功能改善"肿眼泡"的外型效果显著。

AIM:To observe the clinical effect of reposition for prolapse of the lacrimal gland. METHODS:After diagnosing prolapse of the lacrimal gland,we made designs for skin incision before local anesthesia,marked the boundaries of the skin to be removed,then ablated the internal organization,fixed prolapsed lacrimal gland,and sutured double eyelid intactly. RESULTS:Among all the 33 cases,lacrimal gland was partially removed in 10 cases,and the lacrimal gland secretion in these cases was normal preoperatively,and slightly decreased after operation.Lacrimal gland was excised alone in 6 cases,without other treatment,bags under the eyes in those cases was not corrected satisfactorily.For the remaining patients,we made skin incision,removed the excessive skin and subcutaneous tissue,relocated the lacrimal gland,reduced the orbital septum,and the appearance was satisfying. CONCLUSION:The surgical anatomy can both restore the anatomical location and neurologic recovery of the lacrimal gland,and also improve the appearance of the bags under the eyes.

R779.6