改良眼轮匝肌缩短术联合延续性护理在下睑内翻矫治中的应用研究  

Application of Modified Orbicularis Muscle Shortening Combined with Continuous Nursing in the Treatment of Lower Eyelid Entropion

作　　者：陆平[1] 王维[1] 王冬蕾 LU Ping;WANG Wei;WANG Dong-lei(Department of Ophthalmology,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院眼科,北京100050

出　　处：《中国美容医学》2020年第9期10-13,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨改良眼轮匝肌缩短术联合延续性护理在下睑内翻患者中的应用效果。方法:选取44例(88眼)下睑内翻患者,根据手术方法分为治疗组(n=22,44眼,改良眼轮匝肌缩短术)与对照组(n=22,44眼,眼轮匝肌缩短术)。两组患者均进行延续性护理。分别于术前及术后1个月观察两组患者下睑睑裂形态变化,评估睑板腺的脂质分泌情况、眼表症状及体征变化情况;分别于术后1周、3个月、6个月进行温哥华瘢痕量表(Vancouver scar scale,VSS)评分;评估患者的满意度。结果:术后1个月两组OSDI评分均低于术前,且治疗组低于对照组,差异有统计学意义(P<0.05)。两组睑脂评分较术前降低,但组间比较差异无统计学意义(P>0.05)。术后1个月两组睑裂宽度、泪阜显露率、睫毛朝向角度均显著高于术前,且治疗组高于对照组,差异有统计学意义(P<0.05)。术后1周至术后6个月,两组患者的VSS评分逐渐降低,且治疗组术后3个月、6个月的VSS评分均低于对照组,差异有统计学意义(P<0.05);但术后1周两组VSS评分比较差异无统计学意义(P>0.05)。治疗组满意率为95.45%显著高于对照组(72.73%),差异有统计学意义(P<0.05)。结论:下睑内翻患者行改良眼轮匝肌缩短术联合延续性护理有助于提高患者下睑睑裂形态,减轻切口瘢痕程度,同时有助于缓解患者的临床症状,提高满意度,值得推广使用。Objective To explore the effect of modified orbicularis muscle shortening combined with continuous nursing in patients with lower eyelid entropion.Methods 44 patients with lower eyelid entropion(88 eyes)were selected and divided into the treatment group(n=22,44 eyes,modified orbicularis muscle shortening)and control group(n=22,44 eyes,orbicularis muscle shortening)according to the surgical method.Patients in both groups received continuous nursing.The morphological changes of the lower eyelid and blepharoplasty of the two groups of patients were observed,and the changes in the lipid secretion,ocular surface symptoms,and physical signs of the meibomian glands before and 1 month after surgery were evaluated,Vancouver scar scale(VSS)scores were performed at 1 week,3 month,and 6 months after surgery;patient satisfaction was evaluated.Results One month after operation,the OSDI scores of the two groups were lower than those before operation,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).The eyelid fat score of the two groups was lower than that before operation,but there was no significant difference between the two groups(P>0.05).One month after operation,the palpebral fissure width,lacrimal caruncle exposure rate and eyelash orientation angle of the two groups were significantly higher than those before operation,and the treatment group was higher than the control group(P<0.05).From 1 week to 6 months after operation,the VSS scores of the two groups gradually decreased,and the VSS scores of the treatment group were lower than those of the control group at 3 and 6 months after operation(P<0.05).However,there was no significant difference in VSS score between the two groups one week after operation(P>0.05).The satisfaction rate of the treatment group was 95.45%,which was significantly higher than that of the control group(72.73%,P<0.05).Conclusion Modified orbicularis muscle shortening combined with continuous nursing in patients with lower eyelid entropi

关 键 词：改良眼轮匝肌缩短术 延续性护理 下睑内翻 瘢痕 满意度 

分 类 号：R622[医药卫生—整形外科]