摘要
目的观察眼轮匝肌折叠联合眼袋手术治疗老年性睑内翻的疗效。设计回顾性比较性病例系列。研究对象2002年2月至2009年5月在北京市普仁医院手术治疗的老年性睑内翻患者148例（190眼）。方法分别采用眼轮匝肌折叠缩短联合眼袋去除术（51例65眼）、眼轮匝肌切除法（47例62眼）、睑缘间切开法（50例63眼）治疗以上老年性下睑内翻患者。术后随访3~18个月,比较疗效。主要指标有效率及复发率。结果最后一次随访时眼轮匝肌切除组、睑缘间切开组、眼轮匝肌折叠缩短联合眼袋手术组的有效率分别为96.8%、95.2%9、8.5%（P=0.864）;复发率分别为21.0%3、0.2%1、0.8%,眼轮匝肌折叠缩短联合眼袋手术组复发率低于其他两组（P=0.023）,眼轮匝肌切除组复发率与睑缘间切开组无明显差异（P=0.306）。三组均未出现严重并发症。结论眼轮匝肌折叠缩短联合眼袋去除术矫正老年性睑内翻复发率较低,且同时具有一定的美容效果。
Objective To observe the clinical effect of plication of the orbicularis muscle combined with removing eyebag for se-nile inferior entropion.Design Retrospective comparative case series.Participants 148 patients（190 eyes） with senile inferior entropion were performed surgical treatment in Beijing Puren Hospital from 2002 to 2009.Methods Plication of the orbicularis muscle combined with removing eyebag were performed in 51 patients（65 eyes）,epalpebra obicularis muscle resection in 47 patients（62 eyes） and eyelid margin incision in 50 patients（63 eyes）.The average follow-up was 3-18 months.Main Outcome Measures Effective rates and recur-rence rates.Results At the last follow-up,the effective rates of epalpebra obicularis muscle resection group,eyelid margin incision group and plication of the orbicularis muscle group were 96.8%,95.2%,98.5%,respectively.There was no significant difference among 3 groups（P=0.864）.The recurrence rates of 3 groups were 21.0%,30.2%,10.8%,respectively.The recurrence rates in plication of the orbicularis muscle group was significantly lower than in other groups（P=0.023）.The recurrence rates of epalpebra obicularis muscle re-section group was not significantly difference compared with eyelid margin incision group（P=0.306）.There were no serious complications in all 3 groups during follow-up.Conclusion The plication of the orbicularis muscle combined with removing eyebag is an effective remedy for senile inferior entropion.The recurrence rate was lower.It also has a cosmetic effect
出处
《眼科》
CAS
2011年第5期349-351,共3页
Ophthalmology in China
关键词
老年性睑内翻/外科学
眼轮匝肌折叠缩短术
眼轮匝肌切除术
睑缘间切开法
senile entropion/surgery
plication of the orbicularis muscle
epalpebra obicularis muscle resection
eyelid margin incision
