下睑缩肌复位联合外侧睑板条固定术治疗退行性下睑内翻  

Treatment of degenerative entropion with lower eyelid muscle reduction and lateral tarsal plate fixation

作　　者：袁玮[1] 张健[1] Wei Yuan;Jian Zhang(Department of Ophthalmology, Xuanwu Hospital Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院眼科,中国北京市100053

出　　处：《国际眼科杂志》2020年第12期2181-2184,共4页International Eye Science

摘　　要：目的:探讨并比较下睑缩肌复位联合外侧睑板条固定术及单纯下睑缩肌复位术治疗退行性下睑内翻的有效性和安全性。方法:本研究为前瞻性研究。选取2015-01/2018-02在我科接受手术治疗的退行性下睑内翻患者79例91眼,随机分为观察组(41例46眼,行下睑缩肌复位联合外侧睑板条固定术)和对照组(38例45眼,行单纯下睑缩肌复位术),对两组临床疗效、术后并发症发生率进行比较。结果:术后3mo随访,两组患者治愈率无差异(100%vs 98%,P=0.495)。术后24mo随访,观察组治愈率高于对照组(98%vs 84%,P=0.030)。观察组无术后并发症发生,明显少于对照组(11%,P=0.026)。结论:下睑缩肌复位联合外侧睑板条固定术治疗退行性下睑内翻较单纯下睑缩肌复位术远期治疗效果佳,并发症少。AIM:To evaluate the effects and complications of retractor repair combined with a lateral tarsal strip procedure and retractor repair alone for treating lower eyelid involutional entropion.METHODS:This was a prospective study.Totally 79 cases(91 eyes)with involutional lower eyelid entropion who were hospitalized from January 2015 to February 2018 were divided randomly into observation group(41 cases 46 eyes,underwent combined procedure)and control group(38 cases 45 eyes,underwent retractor repair procedure).The clinical effects and the complications of the two groups were compared.RESULTS:At 3mo postoperatively,there was no significant difference in the clinical effective rate(100%vs 98%,P=0.495)between the two groups.At 24mo postoperatively,the observation group had a higher clinical effective rate(98%vs 84%,P=0.030).There were no complications occurred in the observation group,significantly fewer than the control group(11%,P=0.026).CONCLUSION:Compare to retractor repair procedure,the combined procedure has a higher clinical effective rate and a lower complications rate.

关 键 词：退行性睑内翻 下睑 下睑缩肌复位 外侧睑板条固定术 睑内翻矫正术 

分 类 号：R779.6[医药卫生—眼科]