摘要
目的比较改良Fox术、Fox术(外眦部梭形皮肤切除术)及Wheeler术(眼轮匝肌缩短法)矫正老年性痉挛性下睑内翻的临床疗效性及安全性。方法回顾改良Fox术、Fox术及Wheeler术分别对40例(50眼)、36例(45眼)和35例(46眼)老年性痉挛性下睑内翻患者给予矫正的病历记录,比较3种方法在术后近期(6个月)、远期(>6个月～2年)的内翻倒睫复发率、患者满意度评分及不良反应发生率。结果 6个月时,改良Fox术组复发内翻倒睫2眼,复发率为4.00%,患者满意评分为(8.13±0.85)分;Fox术组复发内翻倒睫1眼,复发率为2.22%,患者满意度评分为(8.00±0.89)分;Wheeler术组复发内翻倒睫1眼,复发率为2.17%,患者满意度评分为(8.14±0.77)分。3组间差异均无统计学意义(P>0.05)。此期间,改良Fox术组有轻度的切口皮肤红、肿等炎症反应症状7眼,Fox术组与Wheeler术组分别为8眼和5眼,不良反应发生率比较差异无统计学意义(P>0.05)。远期(>6个月～2年内)随访显示,改良Fox术组复发内翻倒睫4眼,复发率为8.00%,患者满意度评分为(7.65±0.83)分;Fox术组复发内翻倒睫13眼,复发率为28.89%,患者满意度评分为(6.86±0.63)分;Wheeler术组复发内翻倒睫16眼,复发率为34.78%,患者满意度评分为(6.54±0.81)分。两两比较后发现,改良Fox术组复发率低、患者满意度评分高(P<0.05),而其他2组差异无统计学意义(P>0.05)。此期间内,未观察到患者发生炎症反应。结论改良Fox术矫正老年性痉挛性下睑内翻效果稳定、可靠,患者满意度高,无更多不良反应的发生,值得推广。
Objective To observe and compare the clinical effect and safety of improved Fox, Fox and Wheeler surgery in patients with senile spastic entropion. Methods The clinical data of patients with senile spastic entropion treated with improved Fox （40 cases ,50 eyes）, Fox （36 cases,45 eyes） and Wheeler surgery （35 cases, 46 eyes） were retrospectively analyzed. The ratio of entropion recurrence, patient satisfaction and side effect at postoperative 6 months and 6 months to 2 years were compared. Results At 6 months, there were 2 cases of recurrent entropion, the recurrence rate was 4. 00%, and satisfaction score was （8.13 ± 0.85 ） in the group of improved Fox surgery. The corresponding index was 1,2.22%, （8.00 ±0.89） in the Fox group and 1,2. 17%, （8. 14 ±0.77） in the Wheeler group respectively. No statistical difference was found among the three groups in recurrence and satisfaction. During 6 months to 2 years after the improved Fox surgery 4 eyes of recurrent entropion were observed. The recurrence rate was 8.00% and total score was （7.65 ±0.83） in the improved group. While in Fox group the recurrent eyes were 13 ,recurrence rate was 28.89% during the time. And the total score was （6.86 ±0.63）. The corresponding number was 16,34.78% and （6.54 ±0.81 ） in the Wheeler group during this time. There was statistical difference among the three groups in recurrence and satisfaction （P 〈0.01 ）. The improved group gained less recurrence and more satisfaction. Patients subjected to side effects only were found during the early time after surgery. Seven eyes of improved Fox group, 8 eyes of Fox group and 5 eyes of Wheeler group were recorded side effect during the first 6 months after surgery. The was no statistical difference among the three groups （P 〉 0.05 ）. Conclusion Improved Fox surgery is a Stable and reliable method of correcting senile spastic entropion with less side effects. It is worthy to be promoted.
出处
《河北医科大学学报》
CAS
2013年第2期164-166,共3页
Journal of Hebei Medical University
关键词
眼睑内翻外
科手术
老年人
entropion
surgical procedures, operative
aged
