摘要
目的:探讨老年性下睑内翻治疗中眼轮匝肌切除术联合眼轮匝肌缩短下睑缩肌复位术方案的临床效果。方法:回顾性分析2022年1—12月于南平市第二医院接受治疗的90例老年性下睑内翻患者的临床资料,依据治疗方案的不同将患者分为对照组(n=45,行眼轮匝肌切除术)和研究组(n=45,行眼轮匝肌切除联合眼轮匝肌缩短下睑缩肌复位术)。比较两组围手术期指标、术后恢复指标、术后并发症发生情况、复发情况和眼部美观度。结果:两组术中出血量比较,差异无统计学意义(P>0.05);和对照组相比,研究组手术时间长,切除皮肤宽度小,术后睑裂高度高,泪阜显露率高及睫毛朝向大(P<0.05);相比于对照组,研究组治疗总有效率高,复发率低,术后各眼部美观度评分均高(P<0.05);两组术后各项并发症发生率比较,差异均无统计学意义(P>0.05)。结论:老年性下睑内翻治疗中,选择眼轮匝肌切除术及眼轮匝肌缩短下睑缩肌复位术联合方案安全有效,可积极改善疾病症状,降低复发率,并改善眼部美观度。
Objective:To investigate the clinical effect of plan of blepharosphincterectomy combined with shortening of orbicularis oculi and reduction of lower eyelid retractor in the treatment of senile lower eyelid entropion.Method:Clinical data of 90 patients with senile lower eyelid entropion treated in No.2 Hospital of Nanping City from January to December 2022 were retrospectively analyzed.The patients were divided into control group(n=45,underwent blepharosphincterectomy)and study group(n=45,underwent blepharosphincterectomy combined with shortening of orbicularis oculi and reduction of lower eyelid retractor)according to different treatment plans.Perioperative indexes,postoperative recovery indexes,postoperative complications,recurrence and eye aesthetics were compared between the two groups.Result:There was no significant difference in intraoperative blood loss between the two groups(P>0.05).Compared with the control group,the operation time in the study group was longer,the width of the resected skin was smaller,the height of the palpebral fissure after surgery was higher,and the exposure rate of the lacrimal mons was higher and the orientation of the eyelashes was larger(P<0.05).Compared with the control group,the total effective rate of treatment in the study group was higher,the recurrence was lower,and all postoperative eye aesthetics scores were higher(P<0.05).There were no significant differences in the incidences of postoperative complications between the two groups(P>0.05).Conclusion:In the treatment of senile lower eyelid entropion,the combination of blepharosphincterectomy and shortening of orbicularis oculi and reduction of lower eyelid retractor is safe and effective,which can actively improve the disease symptoms,reduce the recurrence rate,and improve the eye aesthetics.
作者
曾志芳
段芳芝
张宇超
ZENG Zhifang;DUAN Fangzhi;ZHANG Yuchao(Department of Ophthalmology,No.2 Hospital of Nanping City,Nanping 354200,China)
出处
《中国医学创新》
CAS
2024年第24期14-18,共5页
Medical Innovation of China
关键词
下睑内翻
眼轮匝肌切除术
眼轮匝肌缩短下睑缩肌复位术
复发
眼部美观度
Lower eyelid entropion
Blepharosphincterectomy
Shortening of orbicularis oculi and reduction of lower eyelid retractor
Recurrence
Eye aesthetics
