内眦皮肤重置联合改良Hotz法矫正儿童中重度下睑内翻倒睫的效果分析  

Skin-redraping epicanthoplasty combined with the modified Hotz procedure in the correction of moderate and severe trichi-asis caused by entropion in children

作　　者：陈妍明 马涛[1] 许莲姬[1] 张君毅[1] 韩新鸣[1] 司晔巍[1] 王爽[1] CHEN Yanming;MA Tao;XU Lianji;ZHANG Junyi;HAN Xinming;SI Yewei;WANG Shuang(Department of Plastic and Reconstructive Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China)

机构地区：[1]首都医科大学附属北京同仁医院整形美容中心,北京100005

出　　处：《中国美容整形外科杂志》2025年第1期18-21,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨内眦皮肤重置联合改良Hotz法矫正儿童中重度下睑内翻倒睫的临床效果。方法回顾性分析自2021年1月至2024年1月,首都医科大学附属北京同仁医院整形美容中心收治儿童中重度下睑内翻倒睫30例(60只眼),在全身麻醉下行内眦皮肤重置联合改良Hotz法矫正下睑内翻倒睫,记录并评估术后并发症、矫正效果、复发率和满意度。结果30例患儿术后随访6~36个月,术后并发症发生较少,术后矫正有效率为100%(显效42只眼,有效18只眼),复发率为3.3%,满意率为90.0%。结论内眦皮肤重置联合改良Hotz法在治疗儿童中重度下睑内翻倒睫中,能够适应儿童生长发育,兼顾矫正效果和美学需求,复发率较低,值得临床推广。Objective To investigate the clinical application of skin-redraping epicanthoplasty combined with the modified Hotz procedure in the correction of moderate and severe trichiasis caused by entropion in children.Methods From January 2021 to January2024,30 cases with moderate and severe trichiasis caused by entropion,by using skin-redraping epicanthoplasty combined with the modified Hotz method under general anesthesia,were evaluated for adverse complications,corrective effect,recurrence rate,and satisfaction.Results All cases were followed up for 6 to 36 months,the effective rate was 100%,the recurrence rate was 3.3%and satisfaction rate was 90.0%,with minor adverse complications.Conclusion This procedure is worth promoting in the treatment of moderate,severe trichiasis caused by entropion in children,as it adapts to the growth and development of children,takes into account the corrective effect and aesthetic needs,and has a low recurrence rate.

关 键 词：内眦皮肤重置法 改良Hotz法 下睑内翻 倒睫 

分 类 号：R47[医药卫生—护理学]