改良内路法睑板条悬吊联合下睑缩肌前徙矫正退行性睑内翻的疗效分析  

Assessment of modified internal tarsal strip suspension combined with lower eyelid retractor advancement in the correction of degenerative entropion

作　　者：邵珺 陆辰 蔡季平 王杨宁致 Shao Jun;Lu Chen;Cai Jiping;Wang Yangningzhi(Department of Ophthalmology,the Affiliated Wuxi People's Hospital of Nanjing Medical University,Wuxi 214023,China)

机构地区：[1]南京医科大学附属无锡人民医院眼科,214023

出　　处：《临床眼科杂志》2022年第5期438-441,共4页Journal of Clinical Ophthalmology

基　　金：国家自然科学基金(81970819);无锡市双百拔尖人才(2020012);中国博士后67批面上项目(2020M671541)。

摘　　要：目的观察改良内路法睑板条悬吊联合下睑缩肌前徙对退行性睑内翻矫正的疗效。方法回顾性病例对照研究。选取2014年1月至2020年12月就诊的42例(55只眼)下眼睑退行性睑内翻患者,以随机数字表法将患者分为对照组21例(26只眼),观察组21例(29只眼),观察组采用内路法睑板条悬吊联合下睑缩肌前徙,对照组仅做内路法下睑缩肌的前徙,比较两组术后1周及术后半年的疗效及并发症。结果术后1周两组疗效及并发症发生率均无明显差异。术后1个月,观察组无人复发,对照组复发率为24%,两组差异有统计学意义(χ^(2)=7.512,P<0.05);观察组并发症发生率(6.9%),对照组(15.4%),两组之间无统计学差异(χ^(2)=1.016,P>0.05)。术后6个月,观察组复发率(3.4%),对照组(30.7%),两组差异有统计学意义(χ^(2)=7.477,P<0.05);观察组并发症发生率(3.4%),对照组(19.2%)差异无统计学意义(χ^(2)=3.513,P>0.05)。结论改良内路法睑板条悬吊联合下睑缩肌前徙矫正退行性睑内翻是一种微创安全长期有效的矫正退行性睑内翻的手术方法。Objective To observe the efficacy of modified internal tarsal strip suspension combined with lower eyelid retractor advancement on the correction of degenerative entropion.Methods This prospective case-control study enrolled 42 patients(55 eyes)with lower eyelid degenerative entropion from January 2014 to December 2020.Patients were randomly divided into 21 cases(26 eyes)in the control group and 21 cases(29 eyes)in the observation group.The observation group used internal tarsal strip suspension combined with lower eyelid retractor advancement,and the control group only used internal lower eyelid retractor advancement.The curative effects and complications of the two groups were compared at 1 week and 6 months after the operation.Results After the operation,there was no significant difference in the curative effect and complication rate between the two groups at one week.In the observation group at one month after the surgery,there was no one recurrence and that was 24%in the control group.There was significant difference between the two groups(χ^(2)=7.512,P<0.05).The incidence of complications was 6.9%in the observation group and 15.4%in the control group.There was no significant difference between the two groups(χ^(2)=1.016,P>0.05).At six months after the surgery,the recurrence rate was 3.4%in the observation group and 30.7%in the control group(χ^(2)=7.477,P<0.05);There was no significant difference in the incidence of complications between the observer group(3.4%)and the control group(19.2%)(χ^(2)=3.513,P>0.05).Conclusions Modified internal tarsal strip suspension combined with lower eyelid retractor advancement is a minimally invasive,safe and long-term effective surgical method for the correction of degenerative entropion.

关 键 词：退行性睑内翻 睑板条悬吊 下睑缩肌 睑内翻矫正术 

分 类 号：R779.6[医药卫生—眼科]