摘要
【目的】比较两种手术切口治疗老年性上睑内翻的临床效果。【方法】选择2011年1月至2014年1月本院收治的48例（84眼）采用经结膜面做手术切口治疗老年性上睑内翻的患者作为观察组，选择同期本院收治的40例（70眼）采用传统经皮肤面手术切口治疗老年性上睑内翻的患者作为对照组，观察术后一周患者的矫正率、术后患者满意度、眼睑对称性、眼睑自然性（眼睑形状外观较术前有无改变），并随访6～12个月，观察远期复发率。【结果】术后观察组矫正率100．0％（84／84）与对照组98．6％（69／70）比较，差异无统计学意义（χ^2=0．825，P〉0．05）；观察组术后患者满意率97．9％（47／48）显著高于对照组80．0％（32／40），差异具有统计学意义（χ^2=1．990，P〈0．05）；观察组眼睑对称率97．9％（47／48）显著高于对照组75．0％（30／40），差异具有统计学意义（χ^2=1．892，P〈0．05）；观察组眼睑自然率98．8％（83／84）显著高于对照组30．0％（21／70），差异具有统计学意义（χ^2=2．632，P〈0．05）。观察组远期复发率3．6％（3／84）与对照组7．1％（5／70），差异无统计学意义（χ^2=0．975，P〉0．05）。【结论】与传统经皮肤面手术切口治疗老年性上睑内翻相比，经结膜面做手术切口在术后患者满意度、眼睑对称性、眼睑自然性方面具有极大的优势。
[Objective] To compare the clinical effects of two surgical incision in the treatment of senile pa- tients with upper eyelid inversion.[Methods]48 cases （84 eyes） with conjunctival incision treatment of senile entropion patients in our hospital from January 2011 to 2014 January were chosen as the observation group, and 40 patients （70 eyes） treated in the hospital during the same period through the traditional skin surface incision treatment for senile entropion patients as the control group. One week after operation, The correction rate, the degree of satisfaction of the patients, the symmetry of the eyelids and the natural appearance of the eyelids （the appearance of the eyelid was not changed before surgery or not） were observed. The follow-up was 6-12 months. The long-term recurrence rate was also observed. [Results] The correction rate of observation group was 100.0% （84/84） and that of the control group was 98.6% （69/70） after operation, the difference was not statistically significant（χ^2=0.825, P 〈0.05）;In the observation group,the postoperative patient satisfaction rate was 97.9% （47 / 48） which was significantly higher than that of control group 80.0% （32 / 40）, and the difference was statistically significant （χ^2 = 1.990, P 〈0.05） ; The eyelid symmetric rate of the observation group 97.9% （47 / 48） was significantly higher than that of the control group 75.0% （30 / 40）, and the difference was statistically significant （χ^2=1.892, P 〈0.05）; The eyelid natural rate of the observation group was 98.8% （83 / 84） which was significantly higher than that of the control group 30.0% （21 / 70）, and the difference is statistically significant （χ^2= 2.632, P 〈0.05）.The long-term recurrence rate of the observation group was 3.6 % （3/84） and that of the control group was（7.1% 5/70）, the difference was not statistically significant （χ^2=0.975, P 〈0.05）. [Conclusion]Compared with the traditional method of the skin incision in the treatment of senile patients with upper eyelid inversion, the conjunctival incision has a great advantage in postoperative patients＇ satisfaction, eyelid symmetry and eyelid nature.
出处
《医学临床研究》
CAS
2015年第12期2341-2343,共3页
Journal of Clinical Research
