两种手术方法治疗小儿下睑倒睫的疗效比较  

Comparison of two surgical treatments for pediatric lower eyelid trichiasis

作　　者：肖艳霞[1] 鄢俊杰[1] 徐东强[1] 

机构地区：[1]广州军区武汉总医院眼科,中国湖北省武汉市430070

出　　处：《国际眼科杂志》2014年第6期1171-1173,共3页International Eye Science

摘　　要：目的:通过对比缝线法和部分睫毛切除治疗小儿下睑倒睫的临床效果,筛选出一种有效治疗小儿下睑倒睫的方法。方法:将小儿下睑倒睫患者56例按照抽签方法随机均分为对照组与观察组,每组各为28例。对照组采用缝线法进行治疗,观察组采用部分睫毛切除法进行治疗。比较两组临床疗效、治疗前后患者满意度以及并发症发生率。结果:(1)对照组临床治疗总有效率为74%,观察组为89%,两组临床疗效差异具有统计学意义(P<0.05);(2)对照组治疗前后满意度评分分别为3.89±1.22与6.27±1.86分,观察组治疗前后满意度评分分别为4.00±1.34与8.95±2.34分,两组治疗前后满意度评分差异均具有统计学意义(P<0.05),且观察组治疗后满意度评分显著高于对照组(P<0.05);(3)两组均出现红肿及缝线脱落等并发症,对照组并发症发生率为21%,观察组为11%,两组并发症发生率差异具有统计学意义(P<0.05)。结论:缝线法治疗小儿下睑倒睫简单易行,有时在患儿的配合下可在局部麻醉下进行,但复发率较高,部分复发患儿需再次手术;部分睫毛切除可较彻底地解决小儿下睑倒睫问题,复发率低,但小儿需在全身麻醉下进行,风险大,并不适合在临床上广泛普及,可用于特殊的病例。AIM： To compare the clinical results of suture method and partial eyelash resection treating for pediatric eyelid trichiasis, and screen an effective method for the treatment of pediatric lower eyelid trichiasis. METHODS： Fifty-six cases of pediatric patients with lower eyelid trichiasis were randomly divided into a control group and an observation group in accordance with the method of drawing lots, and each group was 28 cases. The control group was treated with suture method, and the observation group was treated with partial eyelash resection. The clinical efficacy, patient satisfaction before and after treatment, and the incidence of complications were compared. RESULTS：（1）The clinically total effective rate was 74% of the control group, which was 89% of the observation group, and there were statistical differences of the clinical efficacy between the two groups（P〈0.05）;（2）the satisfaction scores were（3.89±1.22）points and（6.27±1.86）points of the the control group before and after treatment, which were（4.00±1.34）points and（8.95±2.34）points of the observation group, and there were statistical differences of the two groups before and after treatment（P〈0.05）, and the scores of the observation group were higher than that of the control group（P〈0.05）;（3）complications such as swelling and stitches off appeared in both groups, and the rate was 21% in the control group, which was 11% in the observation group, and there were statistical differences between the two groups（P〈0.05）. CONCLUSION： The treatment of children with lower eyelid trichiasis, suture method is simple and can be performed under local anesthesia in collaboration with children, but with a higher relapse rate, some patients required reoperation; partial resection of eyelashes can be more thoroughly solve the problem of pediatric eyelid trichiasis with low recurrence rate, but children need to be under general anesthesia with some of big risk. So partial resection of eyelashes is unsuitable

关 键 词：缝线法 部分睫毛切除 小儿下睑倒睫 临床疗效 

分 类 号：R779.6[医药卫生—眼科]