儿童先天性上睑下垂合并先天性睑内翻倒睫的临床特征及手术治疗效果研究  

Clinical Characteristics and Surgical Treatment of Congenital Ptosis Combined with Congenital Entropion and Trichiasis of Children

作　　者：王自冠 刘军洋 李井 WANG Ziguan;LIU Junyang;LI Jing(Zaozhuang City Maternal and Child Health Hospital,Zaozhuang,Shandong 277000)

机构地区：[1]山东省枣庄市妇幼保健院,山东枣庄277000

出　　处：《智慧健康》2024年第17期89-92,共4页Smart Healthcare

摘　　要：目的通过对儿童先天性上睑下垂合并先天性睑内翻倒睫的临床资料进行分析,以探讨其手术方法和效果。方法对418例先天性上睑下垂患儿进行回顾性分析,将其中186例单纯先天性上睑下垂作为对照组,将232例先天性上睑下垂合并先天性睑内翻倒睫作为研究组。对两组患者的临床症状、体征进行了对比分析,并对其手术疗效进行了评价。结果两组患者并发症(以眨眼/揉眼为主,有仰头视物、眼红、畏光、流泪)发生率对比,差异无统计学意义(P>0.05)。两组先天性上睑下垂患者的角膜损伤程度均以轻度和中度为多。先天性上睑下垂和角膜损伤的发生率在两组中,差异均无统计学意义(P>0.05)。两组间的视力/屈光度异常,差异有统计学意义(P=0.041)。研究组先天性睑内翻倒睫的手术满意度优于对照组,组间差异有统计学意义(P<0.05)。结论儿童先天性上睑下垂合并先天性睑内翻倒睫患儿的临床表现主要是轻、中度,没有特殊的临床表现,其视觉/屈光度异常的发生率明显高于单独先天性上睑下垂,分次手术矫正先天性上睑下垂、先天性睑内翻倒睫的疗效明显,且术后并发症较少。Objective This study aims to examine the clinical features and surgical outcomes in pediatric patients with congenital ptosis coexisting with congenital entropion,and to compare them with a group of patients with isolated congenital ptosis.Methods A retrospective analysis was conducted on 418 cases of congenital ptosis,consisting of 186 cases of pure congenital ptosis as the control group and 232 cases with concurrent congenital entropion as the study group.Clinical manifestations and signs were compared,and surgical results were assessed.Results No significant difference was observed in the occurrence of complications(mainly eye blinking,eye rubbing,upward gaze,redness,and photophobia)between the two groups(P>0.05).Both groups displayed mild to moderate corneal damage without a statistically significant difference(P>0.05).Visual acuity/diopter showed a statistically significant difference between the groups(P=0.041).The study group reported higher surgical satisfaction,with a meaningful educational impact between the groups(P<0.05).Conclusion Children presenting with congenital ptosis and congenital entropion typically exhibit mild to moderate symptoms,without any distinctive clinical presentation.The incidence of abnormal visual acuity/diopter is notably higher compared to isolated congenital entropion.Surgical interventions for simultaneous correction of both conditions yield noticeable improvements,accompanied by fewer postoperative complications..

关 键 词：儿童 先天性上睑下垂 先天性睑内翻倒睫 临床特征 手术 

分 类 号：R779.6[医药卫生—眼科]