灰线切开联合睑板前筋膜填充术和Hotz术矫治瘢痕性上睑内翻合并倒睫疗效比较  

Comparison of Gray Line Incision Combined with Anterior Fascia Filling and Hotz Operation in the Treatment of Cicatricial Entropion with Trichiasis

作　　者：刘伟 刘晖 LIU Wei;LIU Hui(Department of Ophthalmology,the Central Hospital of Xiangtan,Xiangtan 411100,Hunan,China;Xiangtan Medicine&Health Vocational College,Xiangtan 411100,Hunan,China)

机构地区：[1]湘潭市中心医院眼科,湖南湘潭411100 [2]湘潭市医卫职业技术学院,湖南湘潭411100

出　　处：《中国美容医学》2021年第1期4-6,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较灰线切开联合睑板前筋膜填充术和Hotz术矫正瘢痕性上睑内翻合并倒睫的临床效果。方法:选取笔者医院72例瘢痕性上睑内翻合并倒睫患者,依照手术方案不同分为研究组(n=36)、常规组(n=36)。常规组采用Hotz术治疗,研究组采用灰线切开联合睑板前筋膜填充术治疗,两组均随访1年。结果:研究组有效率97.22%、复发率2.78%,常规组有效率83.33%、复发率16.67%,组间比较差异均有统计学意义(P<0.05)。研究组眼表疾病指数量表(Ocular surface disease index,OSDI)评分、泪膜破裂时间(Tear break-up time,TBUT)较术前无明显变化(P>0.05),而常规组OSDI评分、TBUT较术前改变明显,差异有统计学意义(P<0.05)。结论:灰线切开联合睑板前筋膜填充术治疗瘢痕性上睑内翻合并倒睫安全有效,复发率低,可以减少干眼症的发生。Objective To compare the clinical effect of gray line incision combined with anterior fascia filling and Hotz operation in the correction of cicatricial entropion with trichiasis.Methods 72 cases with cicatricial entropion with trichiasis were divided into the study group(n=36)and the routine group(n=36).The routine group was treated with Hotz operation and the study group with gray line incision and anterior fascia filling,both groups were followed up for one year.Results The effective rate of the study group was 97.22%,the recurrence rate was 2.78%,the effective rate of the routine group was 83.33%,the recurrence rate was 16.67%.The differences between the two groups were statistically significant(P<0.05).The OSDI score and TBUT of the study group had no significant changes compared with those before operation(P>0.05).The OSDI score and TBUT in the routine group were significantly changed compared with those before operation,and the differences were statistically significant(P<0.05).Conclusion It is safe and effective to treat cicatricial entropion of the upper eyelid with gray line incision and anterior fascia filling,which can reduce the incidence of dry eye and reduce the recurrence rate..

关 键 词：瘢痕性睑内翻 倒睫 灰线切开联合睑板前筋膜填充术 Hotz术 睑缘灰线 干眼症 疗效 

分 类 号：R622[医药卫生—整形外科]