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下瞼痙攣性內翻多用何茲(Hotz)氏及葛来非(Graefl)氏手术矯正,然何茲氏及葛来非氏式手术对有些病人疗效不好。作者于1959年开始用“Z”形縫綫治疗各种程度的痉攣性內翻,获得滿意的效果。手术步驟:象何茲氏手术一样切开皮肤,切除适当的皮肤,或皮肤連同肌肉小条,內翻輕者不切也可以,分离后縫3权“Z”形縫綫。安置縫綫的方法,于創口上缘与皮肤垂直进針,将綫自創口引出,然后水平进入眼輪匝肌深层及瞼板表层,再自創口下缘直对上緣进針处出針于皮外(图1),
Lower blepharospasm varus with Hotz and Ge Fei Fei (Graefl) surgery to correct, while Heizhe and Ge Fei non-style surgery in some patients curative effect is not good. The author began to use “Z” shaped sutures in 1959 to treat various degree of spastic varus, with satisfactory results. Surgical Procedures: Cut the skin like a Hertzian operation, remove the appropriate skin, or the skin along with the muscle strips. The method of placement of sutures, the wound on the edge of the vertical with the needle, the line leads from the wound, and then level into the orbicularis muscle deep and tarsal surface, and then from the lower edge of the margin straight on the edge of the needle In the skin (Figure 1),