改良式睑内翻手术与眼轮匝肌折叠术治疗老年性下睑内翻的临床效果对比被引量：3

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摘要目的对比改良式睑内翻手术与眼轮匝肌折叠术治疗老年性下睑内翻的临床效果。方法845例(1221只眼)老年性下睑内翻患者,按随机数字表法分成A组(489例,704只眼)和B组(356例,517只眼)。A组采用改良式睑内翻手术治疗,B组采用眼轮匝肌折叠术治疗。比较两组治疗效果及术后复发情况、并发症发生情况,分析术后复发患者及并发症患者治疗效果。结果A组有效率97.87%高于B组的91.49%,差异有统计学意义(P<0.05)。A组术后复发率0.87%及并发症发生率1.85%均低于B组的2.75%、6.96%,差异有统计学意义(P<0.05)。A组复发患者再次行眼轮匝肌切除联合外眦水平缩短(原基础上)术修复后下睑缘位置正常;过矫患者调整外眦部缝线或提前拆皮肤线后下睑缘位置正常;皮肤切口对合欠佳患者经修整后愈合良好,余皮肤切口均愈合良好。B组复发患者再次行眼轮匝肌切除联合外眦水平缩短术修复后下睑缘位置正常;下睑外翻及睑球分离患者术后3个月联合行外眦水平缩短术;皮肤切口对合欠佳患者经修整后愈合良好,余皮肤切口均愈合良好。结论改良式睑内翻手术治疗老年性下睑内翻可降低术后复发率,效果可靠且持久,减少睑外翻并发症的发生,是一种更有效的手术方式,临床上值得广泛推广。

作者李雪范瑞高丽涛于佳鑫

机构地区爱尔眼科集团沈阳爱尔眼视光医院

出处《中国实用医药》 2021年第34期107-109,共3页 China Practical Medicine

关键词改良式睑内翻手术眼轮匝肌折叠术老年性下睑内翻

分类号 R779.6 [医药卫生—眼科]

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参考文献3

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2赵雪芹,陈云珍,赵丹丹,步建平.改良Fox术及改良眼轮匝肌折叠术治疗老年下睑内翻的效果研究[J].中国美容医学,2019,28(5):32-35. 被引量：9
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