水平切开法在内眦赘皮合并下睑倒睫手术中的应用  

Clinical observation of horizontal incision in the treatment of congenital epicanthus with entropion and lower eyelid trichiasis

作　　者：李之喆[1] 鲁曦婷[1] 王莹[1] 顾永辉[1] 刘婕 LI Zhizhe;LU Xiting;WANG Ying;GU Yonghui;LIU Jie(Department of Ophthalmology,Suzhou Municipal Hospital,Suzhou 215000,Jiangsu,China)

机构地区：[1]苏州市立医院眼科,江苏苏州215000

出　　处：《山东大学耳鼻喉眼学报》2023年第1期115-119,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 探讨应用内眦部水平切开法治疗先天性内眦赘皮合并下睑内翻倒睫的临床疗效。方法 对36例(72只眼)先天性内眦赘皮合并下睑内翻倒睫的患者进行内眦部皮肤水平切开松解,解除内眦部切线方向的牵引,同时行下睑内翻矫正,观察术后下睑倒睫矫正效果、内眦赘皮改善程度及切口瘢痕发生程度等指标。结果 36例患者72只眼术后倒睫及内眦赘皮均得到矫正,术后分别随访3、6、12个月,个别患者随诊至术后2年,倒睫矫正有效率为100%,并且内眦间距缩窄,美观度提升。结论 内眦水平切开法治疗先天性内眦赘皮合并下睑倒睫具有良好的临床效果,值得临床推广。Objective To investigate the clinical effect of horizontal incision of the inner canthus on congenital epicanthus with entropion and lower eyelid trichiasis. Methods 36 cases(72 eyes) of congenital epicanthus with entropion and trichiasis of the lower eyelid were treated with a horizontal incision of the inner canthus to release the traction of the incised line of the inner canthus. The correction of lower eyelid trichiasis, the improvement of epicanthus, and the degree of scar formation were observed. Results After the operation, all 72 eyes of the 36 patients were corrected for trichiasis and epicanthus. The patients were followed up for 3 months, 6 months, and 12 months. The effective rate of trichiasis correction was 100%;the inner canthus space was narrowed, and the degree of aesthetics improved in all cases. Conclusion Incision of the inner canthus has a significant clinical effect on congenital epicanthus with lower eyelid trichiasis.

关 键 词：水平切开法 内眦赘皮 下睑倒睫 睑内翻 内眦赘皮成形术 

分 类 号：R777.15[医药卫生—眼科]