水平牵拉术治疗重度退行性下睑外翻的临床观察  

Clinical observation on horizontal traction in the treatment of severe degenerative lower eyelid ectropion

作　　者：晓琴[1] 白玉玲[1] 张天资[1] 鲁占军[1] 田世元[1] 

机构地区：[1]内蒙古民族大学附属医院眼科,内蒙古通辽市02800

出　　处：《中国实用眼科杂志》2017年第5期514-517,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察外眦水平牵拉术治疗重度退行性下睑外翻的临床应用效果。方法回顾临床病例系统研究。对46例（68只眼）退行性睑外翻患者按入院顺序随机分为治疗组和对照组，各组23例（34只眼）。治疗组行外眦水平牵拉术，对照组行下睑水平缩短术。术后观察下泪小点位置、下睑位置、泪溢、异物感和结膜充血情况。结果治疗组23例（34只眼）下睑外翻完全矫正，2例（2只眼）在术后7 d因泪小点外翻行内侧睑板结膜梭形切除术，术后下睑功能明显改善，异物感，泪溢等症状消退。对照组23例（34只眼）下睑外翻完全矫正14例（21只眼），5例（7只眼）下睑功能明显改善，睑缘不规则、角膜刺激和影响外观，4例（6只眼）睁闭眼时下睑缘持续不能紧贴眼表。两组间差异无统计学意义（P〉0.05）。术后下泪小点及眼睑位置两组间差异无统计学意义（P〉0.05），泪溢、异物感及结膜充血两组间差异有统计学意义（P〈0.05）。结论采用外眦水平牵拉术治疗退行性睑外翻，较下睑水平缩短术更能针对原发的解剖因素，具有创伤小，伤口愈合快，不造成睑缘缺损和面部外观改善等优点。ObjectiveTo observe the clinical effect of horizontal stretch of external canthus in the treatment of severe degenerative lower eyelid ectropion.MethodsA retrospective clinical case study; 46 cases （68 eyes） of degenerative eyelid were randomly divided into treatment group and control group according to admission order, each for 23 cases （34 eyes）. The treatment group underwent lateral canthal level pull operation, the control group underwent resection under the eyelid level, lower eyelid surgery according to the position of shortened lateral canthal ligament length. The location of the lower lacrimal gland, the location of the lower eyelid, the overflow of tears, foreign body sensation and conjunctival congestion after surgery were observed.ResultsThe treatment group of 23 cases （34 eyes） of lower eyelid ectropion correction in 21 days, 2 cases （2 eyes） on the seventh day after surgery for lacrimal punctum ectropion underwent medial fusiform conjunctival resection, postoperative lower eyelid function improved, foreign body sensation, epiphora symptoms subsided. The control group of 23 cases （34 eyes） of lower eyelid ectropion in 21 days was corrected in 14 cases （21 eyes）, 5 cases （7 eyes） of lower eyelid function improved, palpebral margin irregular, corneal irritation and affect the appearance of 4 cases （6 eyes） to open and close the lower eyelid could not close to the ocular surface. There was no significant difference between the two groups （P 〉0.05）. There was no significant difference in the lower lacrimal spot and eyelid position between the two groups after surgery： P 〉0.05. There were significant differences in lacrimal overflow, foreign body sensation and conjunctival congestion P 〈0.05.ConclusionsAdopting the horizontal stretch of external canthus in the treatment of degenerative ectropion would be aimed more pertinently at the primary problem of anatomy, with the advantage of less trauma and quick wound healing, without causing the eyelid defects and impro

关 键 词：退行性下睑外翻 外眦水平牵拉术 临床观察 

分 类 号：R777.150.5[医药卫生—眼科]