结膜松弛症松弛结膜部位的临床观察  

Clinical observation of the position of laxing conjunctiva in conjunctivochalasis

作　　者：周欢明[1] 张兴儒[1] 李青松[1] 项敏泓[1] 史才财[1] 

机构地区：[1]上海中医药大学附属普陀医院眼科,200062

出　　处：《临床眼科杂志》2009年第3期201-205,共5页Journal of Clinical Ophthalmology

摘　　要：目的观察结膜松弛症松弛结膜的部位类型与下睑缘位置和张力的关系,探讨结膜松弛症的发病机理。方法2007年6月至2008年6月在眼科门诊同一位医师连续对诊断结膜松弛症患者118例(227只眼),观察其结膜松弛症的发生部位、类型、程度及下睑缘的位置和张力。结果227只眼中松弛结膜位于鼻侧+颞侧的结膜松弛症眼数为102只眼,占44.93%,其次为松弛结膜位于单纯中央41只眼,占18.06%,松弛结膜位于鼻侧+中央+颞侧的34只眼,占14.98%。227只眼中下睑缘张力为正常型189只眼,占83.26%,下睑缘内倾型26只眼,占11.45%。227只眼中下睑缘位置为角膜缘上型120只眼,占52.86%;角膜缘型91只眼,占40.09%。结论结膜松弛症患者的松弛部位主要以鼻侧和颞侧同时发生为主,下睑缘位置和张力对结膜松弛的部位有一定影响。Objective To observe the positions of laxing conjunfiva in the patients with conjunctivochalasis and the relation of the position and the lower limbus palpebralis, in order to search for the pathologic mechanism of conjunctivochalasis. Methods Collect the informations of the positions, the types and the degrees of the laxing conjuntiva in the total 227 eyes with conjunctivochalasis during June,2007 to June,2008. Results In 227 eyes with conjunctivochalasis,it happened to both the nasal side and the bitamporal in the 102 eyes （44.93%）, the next is simple center type （41 eyes, 18. 06% ） and the nasal ＋ center ＋ bitamporal type 134eyes, 14.98% ） o In these 227 eyes, 189 eyes （ 83.26%） are normal tension lower hmbus palpebralis type,26 eyes（ 11.45% ） are slope inward lower limbus palpebralis type. The position of 120 eyes（52.86% ） is superior corneal limbus type in the 227 eyes,and 91 eyes（40.09%） are corneal limbus type. Conclusion The -ost position of the laxing conjunctiva happen to both the nasal side and bitamporal. The positons and the tension of the lower hmbus pallebrahs can affect the position of the conjunctivochalasis.

关 键 词：结膜松弛症 松弛部位 下睑缘 

分 类 号：R777.3[医药卫生—眼科] R541.1[医药卫生—临床医学]