改良矫正术治疗老年性睑板肥厚型上睑内翻的疗效观察  

Curative effects of improved diorthosis on upper eyelid entropion with presby-palpebral cartilages thickening

作　　者：陈康[1] 郑灵[1] 庹瑶[1] 

机构地区：[1]解放军324医院眼科,重庆400020

出　　处：《西南国防医药》2012年第7期765-766,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的观察改良睑内翻矫正术对老年性睑板肥厚型上睑内翻的临床效果。方法选择2010～2011年在我科诊断为老年性睑板肥厚型上睑内翻患者38例(38眼),睫毛上2 mm切口,部分切除膨出的眶脂,提上睑肌破裂的予以修补,将内翻倒睫处睑板中下2/3予以削薄,切除部分肥厚睑板下缘结膜下组织,灰线切开。结果随访6个月,近期(1个月)效果治愈率94.12%(32/38),有效率5.88%(2/38);远期(6个月)效果治愈率88.24%(30/34),有效率8.82%(3/34),失败率2.94%(1/34)。结论改良睑内翻矫正术对于病程长、睑板肥厚变性的老年性上睑内翻患者有效,近期和远期效果良好,需要进一步进行大样本、长时间的随访和对照研究。Objective To observe the clinical curative effects of improved diorthosis on upper eyelid entropion with presby - palpebral cartilages thickening. Methods Thirty eight cases （ 38 eyes） diagnosed as upper eyelid entropion with presby - palpebral cartilages thickening were selected. The incision was made 2 mm above the lash, and redundant orbital cavity fat was partially resected. Reparation was made in ruptured levator muscle of upper eyelid. The 2/3 part of middle - inferior palpebral cartilages with trichiasis was thinned,and some tissues under the conjunctiva in the lower margin of the thickening palpebral cartilages were resected and the gray floss was cut open. Results In the six - month follow up, the cure rate in short term（ 1 month）was 94.12% （32/38）, and the effective rate was 5.88% （2/38）. The cure rate in long term was 88.24% （30/34） ,and the effective rate was 8.82% （3/34）. The failure rate was 2.94% （1/34）. Conclusion The improved correction of entropion is effective for the patients with long course of disease and palpebral cartilages thickening with presby - upper eyelid entropion, and its short and long effects are good. But follow up and control study should be made among large samples for a long time.

关 键 词：上睑内翻 老年 睑板肥厚型 睑板 手术 疗效 

分 类 号：R777.1[医药卫生—眼科]