改良眼轮匝肌切除联合下睑板固定术治疗儿童下睑内翻倒睫临床效果观察  

Clinical Curative Effect of Modified Skin Excision of Orbicularis OculiMuscle Combined with Inferior Tarsus Fixation on Children with Lower Eyelid Entropion and Trichiasis

作　　者：张薇 王晓培 朱广萍 ZHANG Wei;WANG Xiao-pei;ZHU Guang-ping(Department of Ophthalmology,Wuxi Eighth People's Hospital,Wuxi 214000,Jiangsu,China)

机构地区：[1]无锡市第八人民医院眼科,江苏无锡214000

出　　处：《中国美容医学》2021年第12期44-47,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察改良眼轮匝肌切除联合皮下睑板内固定术治疗儿童下睑内翻倒睫患者的临床效果。方法:将2016年6月-2021年6月在第八人民医院确诊的102例先天性下睑内翻倒睫患儿作为观察对象,采用简单随机分组将患者分为观察组(n=51)和对照组(n=51)。对照组采用传统眼轮匝肌切除术治疗,观察组采用改良眼轮匝肌切除术联合下睑板固定术治疗。比较两组手术治疗效果、术后并发症发生率及复发率、术后美学评分。结果:观察组术后治疗有效率高于对照组,观察组术后并发症出现率、复发率低于对照组,组间比较差异有统计学意义(P<0.05);术后眼部美学评分,观察组与对照组差异无统计学意义(P>0.05)。结论:改良眼轮匝肌切除术联合下睑板固定术可有效提高儿童下睑内翻倒睫临床疗效,降低术后并发症、复发率,且不影响患者眼睑美观,值得临床推广。Objective To observe the clinical effect of modified orbicularis oculimuscle resection combined with subcutaneous tarsal internal fixation in the treatment of children with inverted eyelid and trichiasis.Methods The 102 patients with congenital inverted eyelid trichiasis diagnosed in the Eighth People's Hospital from June 2016 to June 2021 were taken as observation objects,and the patients were divided into observation group(n=51)and control group by simple random grouping(n=51).The control group was treated with orbicularis oculimuscle resection,and the observation group was treated with modified orbicularis oculimuscle resection combined with lower tarsal fixation.The surgical treatment effect,postoperative complication rate and recurrence rate,and postoperative aesthetic score were compared between the two groups.Results The effective rate of postoperative treatment in the observation group was higher than that in the control group,the postoperative complications and recurrence rate in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Postoperative eye aesthetic score,there was no statistically significant difference between the observation group and the control group(P>0.05).Conclusion The modified skin excision of orbicularis oculimuscle combined with inferior tarsus fixation can significantly improve clinical curative effect,reduce incidence of postoperative complications and recurrence rate in children with lower eyelid entropion and trichiasis,without affecting eyelid aesthetics.

关 键 词：儿童先天性下睑内翻 倒睫 改良眼轮匝肌切除联合下睑板固定 内翻倒睫矫正术 眼睑皮肤瘢痕 眼部美学评分 

分 类 号：R587.1[医药卫生—内分泌]