显微镜下个体化改良Hotz术治疗瘢痕性睑内翻的效果  

Efficacy of microscopic individualized modified Hotz operation for the treatment of cicatricial entropion

作　　者：钟蕾[1] 陆培荣[1] 沈伟[1] 王英明[1] Zhong Lei;Lu Peirong;Shen Wei;Wang Yingming(Department of Ophthalmology,The First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院眼科,苏州215006

出　　处：《中华眼外伤职业眼病杂志》2021年第5期346-350,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价显微镜下个体化改良Hotz术治疗瘢痕性睑内翻的效果。方法回顾性分析2017年3月至2019年8月苏州大学附属第一医院30例(35眼)瘢痕性上睑内翻的临床资料。所有患者在眼科手术显微镜下施行改良Hotz术,做睑板楔形切除后将皮肤切口下唇的皮下组织与睑板楔形切除切口上唇间断缝合,再缝合皮肤切口。术中个体化联合上睑松弛皮肤切除和(或)灰线切开、睑板条嵌入等联合手术。术后随访时间6~35个月。结果全组35眼随访期末均治愈,治愈率100%。术后眼睑位置正常,外观形态良好,无复发。结论眼科手术显微镜下个体化改良Hotz术治疗瘢痕性眼睑内翻效果较好。Objective To evaluate the efficacy of microscopic individualized modified Hotz operation in the treatment of cicatricial entropion of upper eyelid.Methods This was a retrospective review.The clinical data of 35 eyes of 30 cases with cicatricial entropion of upper eyelid from Mar.2017 to Aug.2019 in First Affiliated Hospital of Soochow University were analyzed.The microscopic modified Hotz operation and individualized combined with blepharoplasty and/or gray line incision slat filling,electrolytic trichiasis were performed.The major modified procedures were carried out by firstly stitching the subcutaneous tissue of the lower skin incision with the upper lid of the meibomian wedge resection incision,and then stitchings of the lower incision of the skin incision and the upper lip wedge resection incision of the meibomian and the upper incision of the skin were made referring to the traditional Hotz operation.The postoperative follow-up time was 6 to 35 months.Results All cases were cured at the end of the follow-up period,and the cure rate was 100%.The eyelid position was normal after the operation.The appearance was good and there was no recurrences.Conclusion The microscopic individualized modified Hotz operation in the treatment of cicatricial entropion is effective.

关 键 词：睑内翻 瘢痕性 手术 Hotz 改良 个体化 显微镜下 效果 

分 类 号：R779.6[医药卫生—眼科]