改良式眼轮匝肌折叠术治疗老年复发性下睑内翻的临床效果  

Clinical Effect of Modified Orbicularis Oculi Muscle Folding in the Treatment of Recurrent Lower Eyelid Entropion in Elderly

作　　者：李秀娟[1] 徐清妍 LI Xiujuan;XU Qingyan(Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361000,China;不详)

机构地区：[1]厦门市中医院,福建厦门361000

出　　处：《中外医学研究》2024年第25期162-165,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨改良式眼轮匝肌折叠术治疗老年复发性下睑内翻的临床效果。方法:回顾性选取2020年9月—2022年9月于厦门市中医院治疗的102例老年复发性下睑内翻患者作为研究对象,依据不同术式分为改良组(行改良式眼轮匝肌折叠术,n=52)与常规组(行常规折叠术,n=50)。比较两组临床疗效,手术前后眼部症状评分、眼表功能,并发症。结果:改良组总有效率为98.08%,高于常规组的86.00%,差异有统计学意义(P<0.05);与常规组比较,改良组术后3个月眼部症状评分较低,泪膜破裂时间较长,泪河高度较高,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:改良式眼轮匝肌折叠术能提高老年复发性下睑内翻患者临床效果,降低眼部症状评分,维持泪膜稳定性,且未增加并发症风险。Objective:To investigate the clinical effect of modified orbicularis oculi muscle folding in the treatment of recurrent lower eyelid entropion in elderly.Method:A total of 102 elderly patients with recurrent lower eyelid entropion who treated in Xiamen Hospital of Traditional Chinese Medicine from September 2020 to September 2022 were retrospectively selected as the research objects,they were divided into the modified group(modified orbicularis oculi muscle folding,n=52)and the conventional group(conventional folding,n=50)according to different surgical methods.The clinical efficacy,ocular symptom score and ocular surface function before and after operation,and complications were compared between two groups.Result:The total effective rate of the modified group was 98.08%,which was higher than 86.00% of the conventional group,and the difference was statistically significant(P<0.05);compared with the conventional group,the modified group had lower eye symptom score,longer tear film rupture time and higher tear river height at 3 months after operation,and the differences were statistically significant(P<0.05);there was no significant difference in the incidence of complications between two groups(P>0.05).Conclusion:Modified orbicularis oculi muscle folding can improve the clinical effect of elderly patients with recurrent lower eyelid entropion,reduce the eye symptom score,maintain the stability of tear film,and do not increase the risk of complications.

关 键 词：下睑内翻 改良式眼轮匝肌折叠术 眼部症状评分 远期复发率 

分 类 号：R779.6[医药卫生—眼科]