带蒂眼轮匝肌桥状瓣转移术治疗重度复杂上睑倒睫的临床研究  

Clinical study on the treatment of severe complex trichiasis of upper eyelid with pedicle orbicularis oculi muscle bridge flap transfer

作　　者：缪晟[1] 徐学东[1] 曹丽 MIAO Sheng;XU Xuedong;CAO Li(Department of Ophthalmology,Jiangyin People’s Hospital,Jiangsu Province,Jiangyin 214400,China)

机构地区：[1]江苏省江阴市人民医院眼科,江苏江阴214400

出　　处：《中国医药导报》2022年第18期94-97,共4页China Medical Herald

基　　金：江苏省卫生健康委员会项目(H2018085)。

摘　　要：目的探讨带蒂眼轮匝肌桥状瓣转移术治疗重度复杂上睑倒睫的临床效果。方法选取2018年10月至2020年10月江苏省江阴市人民医院收治的76例(76眼)重度复杂上睑倒睫患者作为研究对象,依照随机数字表法分为研究组(38例,38眼)和对照组(38例,38眼)。对照组采用常规楔形手术治疗,研究组采用带蒂眼轮匝肌桥状瓣转移术治疗。比较两组手术时间、住院时间,术前与术后2周的最佳矫正视力,术前与术后6个月日常生活能力、外形美观、术后舒适度评分及术后6个月的复发率和并发症发生率。结果两组手术时间、住院时间比较,差异无统计学意义(P>0.05)。术后2周,两组最佳矫正视力均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05)。术后6个月,两组日常生活能力评分比较,差异无统计学意义(P>0.05),两组外形美观、舒适度评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05)。术后6个月,两组复发率比较,差异无统计学意义(P>0.05),研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论带蒂眼轮匝肌桥状瓣转移术治疗重度复杂上睑倒睫患者能够改善修复效果,提高美观性,同时能够降低并发症发生率。Objective To explore the clinical effect of pedicled orbicularis oculi muscle bridge flap transfer in the treatment of severe complex trichiasis of upper eyelid.Methods A total of 76 patients(76 eyes)with severe complex trichiasis of upper eyelid admitted to the Jiangyin People’s Hospital,Jiangsu Province from October 2018 to October 2020 were selected as the research subjects,and they were divided into the study group(38 cases,38 eyes)and the control group(38 cases,38 eyes)according to the random number table method.The control group was treated with conventional wedge surgery,and the study group was treated with pedicled orbicularis oculi muscle bridge flap transfer.The operation time,hospital stay,best corrected visual acuity before and two weeks after operation,daily living ability,appearance aesthetic,and postoperative comfort scores before and six months after operation,and recurrence rate and complication rate six months after operation were compared.Results There were no significant differences in operation time and hospital stay between the two groups(P>0.05).Two weeks after operation,the best corrected visual acuity in both groups were lower than those before operation,and that in the study group was lower than that in the control group,the differences were statistically significant(P<0.05).Six months after operation,there was no statistically significant difference in the scores of daily living ability between the two groups(P>0.05),appearance aesthetic and comfort scores of the two groups were higher than those before surgery,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Six months after surgery,there was no significant difference in recurrence rate between the two groups(P>0.05),and the incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Pedicled orbicularis oculi muscle bridge flap transfer in the treatment of patients

关 键 词：带蒂皮瓣转移术 眼轮匝肌桥状瓣 上睑 倒睫 修复外科手术 

分 类 号：R779.6[医药卫生—眼科]