眼轮匝肌颞侧转位术治疗老年性下睑内翻  

Temporal Orbicularis Oculi Muscle Transposition Surgery for Senile Lower Eyelid Entropion

作　　者：李迎春[1] 樊映川[2] 陈辉[2] 刘娅利[3] 邱秋[4] 

机构地区：[1]爱尔眼科成都医学院附属康桥眼科医院.成都610041 [2]四川省医学科学院·四川省人民医院眼科 [3]四川大学华西第四医院眼科 [4]中国人民解放军第5701厂医院眼科

出　　处：《华西医学》2016年第1期57-60,共4页West China Medical Journal

摘　　要：目的探讨运用眼轮匝肌颞侧转位术对老年性下睑内翻的治疗结果。方法对2009年5月-2015年1月收治的78例(93只眼)老年性下睑内翻患者均采用下睑板前眼轮匝肌颞侧转位整容手术。术后6个月进行随访,对患者术后矫正情况进行评价。结果共67例(72只眼)患者完成随访,其中效果良好49例(51只眼),效果一般18例(21只眼)。所有完成患者术中及术后均无感染、眼睑成角畸形等并发症,术后角膜上皮脱落均治愈。67例(72只眼)患者下睑皮肤与术前相比均有不同程度紧致上提。结论眼轮匝肌颞侧转位术治疗老年性下睑内翻能取得治疗与美容双重疗效,在一定阶段内能防止复发。Objective To observe the curative effect of temporal orbicularis oculi muscle transposition surgery for senile lower eyelid entropion.Methods Seventy-eight patients including 93 eyes of senile lower eyelid entropion were treated with temporal orbicularis oculi muscle turn surgical treatment between May 2009 and January 2015.Six months after the operation,the rectification was evaluated.Results A total of 67 cases（72 eyes） finished the follow-up observation,among which 49（51 eyes） had a good effect,18（21 eyes） had general effect,and 0（0 eyes） had poor effect.No patients had such complications as infection or eyelid deformity.All the patients＇ corneal epithelial cell loss was cured after surgery.The skin of lower eyelid of these 67 cases（72 eyes） were raised to various degrees.Conclusion The orbicularis oculi muscle temporal transposition surgery for the treatment of senile entropion can fulfill both clinical treatment and aesthetic need,and will prevent recurrence in a certain period.

关 键 词：老年性下睑内翻 眼轮匝肌 颞侧转位术 

分 类 号：R779.6[医药卫生—眼科]