先天性睑内翻的个性化术式治疗  

Individualized surgical treatment of congenital entropion

作　　者：左兰[1] 程建霞[1] 黄鑫宇[1] 杜园园[1] 

机构地区：[1]吉林大学第二医院眼眶眼整形科,长春130000

出　　处：《中华医学美学美容杂志》2015年第4期212-215,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：吉林省科技发展计划项目（20150414032GH）

摘　　要：目的 评价个性化术式治疗先天性睑内翻的临床效果.方法 收集先天性睑内翻患者150例（285只眼）,单纯的先天性睑内翻采用单纯切开缝合术;单纯下睑赘皮的睑内翻采用睑内翻矫正术联合下睑赘皮去除术;伴有内眦赘皮和下睑赘皮的睑内翻采用下睑赘皮去除术联合内眦Y-V成形术;睑内翻伴有下睑退缩采用睑内翻矫正术联合下睑缩肌后徙术.评价术后恢复情况如治愈率、复率及术后并发症.结果 患者术后恢复良好,无复发及并发症.术后总治愈率98.6％（281/285）,其中单纯切开缝合术治疗25只眼,好转2只眼,治愈23只眼（92.0％）;单纯下睑赘皮去除术治疗41只眼,治愈41只眼（100.0％）;下睑赘皮去除术联合内眦Y-V成形术治疗180只眼,好转1只眼,治愈179只眼（99.4％）;下睑缩肌后徙术治疗39只眼,治愈38只眼（97.4％）.结论 采用个性化手术治疗方式矫正先天性睑内翻,不但手术效果良好,治愈率高,而且避免了术后复发率及不良并发症.Objective To evaluate the clinical effect of the individualized treatment of congential entropion.Methods Totally 150 patients （285 eyes） with congenital entropion were analyzed,the individualized procedures were performed,including the simple incision and suture surgery for simple congenital entropion,removing the redundant skin of lower eyelid for congenital entropion with redundant skin of lower eyelid but without epicanthus,the correction of entropion combined with ＆quot; Y-V＆quot; epicanthoplasty for congenital entropion with epicanthus and the recession of lower eyelid retractor for congenital entropion with lower eyelid retraction.The clinical effect,the percentage of cure and the complication of these cases were evaluated.Results The excellent results were achieved and no relapse or complications occurred in all cases.The total cure rate was 98.6% （281 of 285 eyes）.The cure rate of simple congenital entropion was 92.0% （23 of 25 eyes）.The cure rate of congenital entropion with redundant skin of lower eyelid was 100% （41 of 41 eyes）.The cure rate of congenital halflength entropion accompanied by epicanthus was 99.4 % （179/180 eyes）.The cure rate of congenital entropion associated with lower eyelid retraction was 97.4% （38 of 39 eyes）.Conclusions Individualized operations not only have well curative effect for various congenital entropions,but recurrence rate and complications have been reduced.

关 键 词：睑内翻 先天性 内眦赘皮 下睑退缩 内眦赘皮矫正术 下睑缩肌后徙术 

分 类 号：R779.6[医药卫生—眼科] R622[医药卫生—临床医学]