Fox术和改良Fox术及改良眼轮匝肌折叠术矫正下睑内翻的临床效果  

Clinical efficacy of Fox surgery, improved Fox surgery and modified orbicularis oculi muscle fold surgery for the patients of entropion

作　　者：王雪[1] 姜海涛[1] Wang Xue;Jiang Haitao(Department of Ophthalmology, Lianyungang First People＇s Hospital, Lianyungang 222000, Chin)

机构地区：[1]江苏省连云港市第一人民医院眼科,222000

出　　处：《中华医学美学美容杂志》2018年第3期196-198,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨Fox术、改良Fox术及改良眼轮匝肌折叠术在矫正下睑内翻的术后临床效果。方法分析江苏省连云港市第一人民医院眼科250例老年性下睑内翻患者手术治疗的临床资料，比较改良眼轮匝肌折叠术（A组）、Fox术（B组）及改良Fox术（C组）在矫正下睑内翻的临床效果。结果术后A组未见皮肤红肿，B组和C组分别检出8眼和2眼皮肤轻度红肿，3组比较，差异有统计学意义（P〈0.05）。A组和C组未见睑缘充血，B组检出6眼睑缘充血，3组比较，差异有统计学意义（P〈0.05）。远期随访发现，A组满意度为（8.23±1.08）分，B组为（7.54±1.09）分，C组为（9.26±1.94）分，3组比较，差异有统计学意义（P 〈0.05）。远期复发率显示，C组复发率最低，其次为A组，B组复发率最高，各组之间比较，差异有统计学意义（均P〈0.05）。结论改良Fox术矫正患者下睑内翻手术后满意度更高，复发率更低，远期疗效更确切。ObjectiveTo analyze the clinical efficacy of patients with lower eyelid entropion after the treatment of Fox surgery, modified Fox surgery and modified orbicularis oculi muscle fold surgery. Methods250 patients with lower eyelid entropion were retrospectively analyzed. The modified orbicularis oculi muscle fold surgery （group A）, Fox surgery （group B）, and modified Fox surgery （group C） were used for lower eyelid entropion. ResultsPostoperatively, No skin redness and swelling occured in group A, and mild skin redness appeared in 8 and 2 cases in groups B and C, respectively; the difference was statistically significant between the three groups （P〈0.05）; No eyelid hyperemia was found in groups A and C, but 6 cases presented with eyelid margin hyperemia in group B; the difference was statistically significant between the three groups （P〈0.05）. Long term follow-up showed that the satisfaction score of group A was （8.23±1.08）, B group was （7.54±1.09）, C group was （9.26±1.94）, and the difference between three groups was statistically significant （P〈0.05）. In addition, the long-term recurrence rate showed that the recurrence rate in group C was the lowest, followed by group A, and the recurrence rate in group B was the highest, and the differences between various groups were statistically significant （P〈0.05）. ConclusionsThe improved Fox surgery has better satisfaction and lower recurrence rate in patients with lower eyelid entropion, and especially the long-term effect is more definite.

关 键 词：Fox术 改良Fox术 改良眼轮匝肌折叠术 下睑内翻 满意度 

分 类 号：R779.6[医药卫生—眼科]