改良眼轮匝肌折叠术矫正老年性下睑内翻的美学效果及预后观察  

Observation on Aesthetic Effect and Prognosis of Modified Orbicularis Oculi Muscle Folding in the Correction of Senile Lower Eyelid Entropion

作　　者：李密[1] 戴追[1] 杨文彦[1] 李光辉 陆泳[1] LI Mi;DAI Zhui;YANG Wenyan;LI Guanghui;LU Yong(Department of Ophthalmology,Qidong People’s Hospital,Affiliated Qidong Hospital of Nantong University,Qidong Liver Cancer Institute,Nantong 226200,Jiangsu,China)

机构地区：[1]启东市人民医院/南通大学附属启东医院/启东肝癌防治研究所眼科,江苏南通226200

出　　处：《中国美容医学》2025年第2期80-83,共4页Chinese Journal of Aesthetic Medicine

基　　金：南通市卫生健康委员会科研课题(编号:MS2022109)。

摘　　要：目的:研究改良眼轮匝肌折叠术矫正老年性下睑内翻的美学及预后效果。方法:依照纳入标准选取笔者医院2021年1月-2023年10月收治的80例老年性下睑内翻患者予以前瞻性分析,研究对象随机分为改良组40例(48眼),使用改良眼轮匝肌折叠术矫正;常规组40例(50眼),使用常规眼轮匝肌切除术矫正。比较两组患者术后治疗效果;随访6个月后两组眼部症状(畏光、刺痛感、异物感)、美学效果(眼部睑裂宽度、睑裂倾斜度)、不良事件发生情况和手术满意度。结果:术后1个月,改良组临床有效率(95.83%)高于常规组(82.00%),差异有统计学意义(P<0.05)。术后6个月,术后6个月,两组畏光、刺痛感及异物感的分值水平均较术前下降,且改良组的上述分值均低于常规组,差异均有统计学意义(P<0.05);两组睑裂宽度较术前下降、睑裂倾斜度较术前增加,且改良组睑裂宽度小于常规组、睑裂倾斜度大于常规组,差异均有统计学意义(P<0.05)。术后6个月,改良组、常规组的总并发症发生率分别为2.08%、16.00%,差异有统计学意义(P<0.05),两组复发率比较无统计学意义(P>0.05);改良组患者对手术的总满意率为95.00%,高于常规组的80.00%(P<0.05)。结论:相较于常规眼轮匝肌切除术,使用改良眼轮匝肌折叠术矫正老年性下睑内翻可获得更佳的疗效,眼部症状改善效果及美学效果均更佳,术后并发症发生率更低,患者的满意度更高。Objective To study the aesthetic effect and prognosis effect of modified orbicularis oculi muscle folding in the correction of senile lower eyelid entropion.Methods According to the inclusion criteria,80 patients with senile lower eyelid entropion in the author's hospital from January 2021 to October 2023 were selected for prospective analysis.The research subjects were randomly divided into modified group(40 patients,48 eyes,modified orbicularis oculi muscle folding correction)and conventional group(40 patients,50 eyes,conventional orbicularis oculi muscle resection correction).The postoperative therapeutic effect,and eye symptoms(photophobia,tingling,foreign body sensation),aesthetic effect(eyelid fissure width,eyelid fissure inclination),occurrence of adverse events and surgical satisfaction after 6 months of follow-up were compared between both groups of patients.Results At 1 month after surgery,the clinical effective rate in modified group was 95.83%,which was higher than 82.00%in conventional group(P<0.05).At 6 months after surgery,the scores of photophobia,tingling and foreign body sensation in both groups were reduced compared with those before surgery,and the above scores were lower in modified group than those in conventional group(P<0.05).The width of palpebral fissure in the two groups was declined while the inclination of palpebral fissure was enhanced compared to before surgery,and the width of palpebral fissure in modified group was smaller while the inclination of palpebral fissure was larger than that in conventional group(P<0.05).The total incidence rates of complications in modified group and conventional group within 6 months after surgery were 2.08%and 16.00%respectively(P<0.05).There was no statistical significance in recurrence rate between groups(P>0.05).The total surgical satisfaction in modified group(95.00%)was higher than that in conventional group(80.00%)(P<0.05).Conclusion Compared with conventional orbicularis oculi muscle resection correction,the application of modified orbicularis

关 键 词：改良眼轮匝肌折叠术 老年 下睑内翻 美学效果 满意度 预后效果 

分 类 号：R779.6[医药卫生—眼科]