国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
1期
162-164
,共3页
睑内翻倒睫%治疗方法%不同类型
瞼內翻倒睫%治療方法%不同類型
검내번도첩%치료방법%불동류형
entropion%treatment%different types
目的：回顾性分析不同类型的睑内翻倒睫的各种手术治疗方法，并评价它们的手术效果及其并发症。<br> 方法：选自2011-06/2013-06共收治睑内翻倒睫患者669例1027眼。其中先天性睑内翻171例311眼，主要行睑板固定术、条形皮肤轮匝肌切除术、内眦赘皮矫正术及下睑轮匝肌增强术；瘢痕性睑内翻260例407眼，主要行睑板固定术、部分睑板切除术及睑缘灰线劈开、下睑缩肌延长＋异体巩膜植入术；老年性或痉挛性睑内翻238例309眼，主要行下睑轮匝肌增强术。<br> 结果：术后满意率97．2％，好转率0．7％，总有效率97.9％。其中先天性睑内翻倒睫的手术满意率97．1％，瘢痕性睑内翻倒睫的手术满意率96．6％，老年性或痉挛性睑内翻倒睫的手术满意率98．1％。手术后有22眼（2.1％）出现并发症，主要有倒睫复发、眼睑外翻、瘢痕形成、眼睑弧度不自然、双眼外观不对称等，经相应处理后患者均满意。<br> 结论：对于不同种类型的睑内翻倒睫要采用不同的手术治疗方法。
目的：迴顧性分析不同類型的瞼內翻倒睫的各種手術治療方法，併評價它們的手術效果及其併髮癥。<br> 方法：選自2011-06/2013-06共收治瞼內翻倒睫患者669例1027眼。其中先天性瞼內翻171例311眼，主要行瞼闆固定術、條形皮膚輪匝肌切除術、內眥贅皮矯正術及下瞼輪匝肌增彊術；瘢痕性瞼內翻260例407眼，主要行瞼闆固定術、部分瞼闆切除術及瞼緣灰線劈開、下瞼縮肌延長＋異體鞏膜植入術；老年性或痙攣性瞼內翻238例309眼，主要行下瞼輪匝肌增彊術。<br> 結果：術後滿意率97．2％，好轉率0．7％，總有效率97.9％。其中先天性瞼內翻倒睫的手術滿意率97．1％，瘢痕性瞼內翻倒睫的手術滿意率96．6％，老年性或痙攣性瞼內翻倒睫的手術滿意率98．1％。手術後有22眼（2.1％）齣現併髮癥，主要有倒睫複髮、眼瞼外翻、瘢痕形成、眼瞼弧度不自然、雙眼外觀不對稱等，經相應處理後患者均滿意。<br> 結論：對于不同種類型的瞼內翻倒睫要採用不同的手術治療方法。
목적：회고성분석불동류형적검내번도첩적각충수술치료방법，병평개타문적수술효과급기병발증。<br> 방법：선자2011-06/2013-06공수치검내번도첩환자669례1027안。기중선천성검내번171례311안，주요행검판고정술、조형피부륜잡기절제술、내자췌피교정술급하검륜잡기증강술；반흔성검내번260례407안，주요행검판고정술、부분검판절제술급검연회선벽개、하검축기연장＋이체공막식입술；노년성혹경련성검내번238례309안，주요행하검륜잡기증강술。<br> 결과：술후만의솔97．2％，호전솔0．7％，총유효솔97.9％。기중선천성검내번도첩적수술만의솔97．1％，반흔성검내번도첩적수술만의솔96．6％，노년성혹경련성검내번도첩적수술만의솔98．1％。수술후유22안（2.1％）출현병발증，주요유도첩복발、안검외번、반흔형성、안검호도불자연、쌍안외관불대칭등，경상응처리후환자균만의。<br> 결론：대우불동충류형적검내번도첩요채용불동적수술치료방법。
AIM:To investigate the various surgical techniques and their effects on correcting different types of entropion. <br> METHODS: From June 2011 to June 2013 , 1 027 eyes of 669 cases with entropion received the surgical treatment. For 171 cases ( 311 eyes ) with congenital entropion, the surgical techniques included tarsal fixation, the resection of the strip skin and orbicularis muscle, epicanthoplasty and augmentation of orbicularis muscle of lower eyelid. While for 260 cases (407 eyes) with cicatricia entropion, the surgical techniques included tarsal fixation, the resection of part of the tarsus and the split of eyelid gray line, and lower lid retractors extension combined with implantation of allogeneic sclera.And for 238 cases ( 309 eyes ) with spastic entropion, the surgical techniques mainly included augmentation of orbicularis muscle of lower eyelid. <br> RESULTS: The satisfaction rate of the operation was 97.2%, and 0.7% patients obtained got improved, so total effective rate was 97.9%.The satisfaction rates of congenital entropion, cicatricia entropion and spastic entropion were 97.1%, 96.6% and 98.1%, respectively. After the operations, 22 eyes ( 2.1%) had some complications, mainly involving trichiasis recurrence, ectropion, scar formation, unnatural curvature of the eyelid and asymmetric appearance of eyes. After the proper treatment, the complications were cured. <br> CONCLUSION: different types ofentropion trichisais need different surgical methods.
