国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1171-1173
,共3页
缝线法%部分睫毛切除%小儿下睑倒睫%临床疗效
縫線法%部分睫毛切除%小兒下瞼倒睫%臨床療效
봉선법%부분첩모절제%소인하검도첩%림상료효
suture%partial eyelash resection%pediatric lower eyelid trichiasis%clinical efficacy
目的：通过对比缝线法和部分睫毛切除治疗小儿下睑倒睫的临床效果，筛选出一种有效治疗小儿下睑倒睫的方法。方法：将小儿下睑倒睫患者56例按照抽签方法随机均分为对照组与观察组，每组各为28例。对照组采用缝线法进行治疗，观察组采用部分睫毛切除法进行治疗。比较两组临床疗效、治疗前后患者满意度以及并发症发生率。<br> 结果：(1)对照组临床治疗总有效率为74%，观察组为89%，两组临床疗效差异具有统计学意义(P<0.05)；(2)对照组治疗前后满意度评分分别为3.89±1.22与6.27±1.86分，观察组治疗前后满意度评分分别为4.00±1.34与8.95±2.34分，两组治疗前后满意度评分差异均具有统计学意义(P<0.05)，且观察组治疗后满意度评分显著高于对照组(P<0.05)；(3)两组均出现红肿及缝线脱落等并发症，对照组并发症发生率为21%，观察组为11%，两组并发症发生率差异具有统计学意义(P<0.05)。<br> 结论：缝线法治疗小儿下睑倒睫简单易行，有时在患儿的配合下可在局部麻醉下进行，但复发率较高，部分复发患儿需再次手术；部分睫毛切除可较彻底地解决小儿下睑倒睫问题，复发率低，但小儿需在全身麻醉下进行，风险大，并不适合在临床上广泛普及，可用于特殊的病例。
目的：通過對比縫線法和部分睫毛切除治療小兒下瞼倒睫的臨床效果，篩選齣一種有效治療小兒下瞼倒睫的方法。方法：將小兒下瞼倒睫患者56例按照抽籤方法隨機均分為對照組與觀察組，每組各為28例。對照組採用縫線法進行治療，觀察組採用部分睫毛切除法進行治療。比較兩組臨床療效、治療前後患者滿意度以及併髮癥髮生率。<br> 結果：(1)對照組臨床治療總有效率為74%，觀察組為89%，兩組臨床療效差異具有統計學意義(P<0.05)；(2)對照組治療前後滿意度評分分彆為3.89±1.22與6.27±1.86分，觀察組治療前後滿意度評分分彆為4.00±1.34與8.95±2.34分，兩組治療前後滿意度評分差異均具有統計學意義(P<0.05)，且觀察組治療後滿意度評分顯著高于對照組(P<0.05)；(3)兩組均齣現紅腫及縫線脫落等併髮癥，對照組併髮癥髮生率為21%，觀察組為11%，兩組併髮癥髮生率差異具有統計學意義(P<0.05)。<br> 結論：縫線法治療小兒下瞼倒睫簡單易行，有時在患兒的配閤下可在跼部痳醉下進行，但複髮率較高，部分複髮患兒需再次手術；部分睫毛切除可較徹底地解決小兒下瞼倒睫問題，複髮率低，但小兒需在全身痳醉下進行，風險大，併不適閤在臨床上廣汎普及，可用于特殊的病例。
목적：통과대비봉선법화부분첩모절제치료소인하검도첩적림상효과，사선출일충유효치료소인하검도첩적방법。방법：장소인하검도첩환자56례안조추첨방법수궤균분위대조조여관찰조，매조각위28례。대조조채용봉선법진행치료，관찰조채용부분첩모절제법진행치료。비교량조림상료효、치료전후환자만의도이급병발증발생솔。<br> 결과：(1)대조조림상치료총유효솔위74%，관찰조위89%，량조림상료효차이구유통계학의의(P<0.05)；(2)대조조치료전후만의도평분분별위3.89±1.22여6.27±1.86분，관찰조치료전후만의도평분분별위4.00±1.34여8.95±2.34분，량조치료전후만의도평분차이균구유통계학의의(P<0.05)，차관찰조치료후만의도평분현저고우대조조(P<0.05)；(3)량조균출현홍종급봉선탈락등병발증，대조조병발증발생솔위21%，관찰조위11%，량조병발증발생솔차이구유통계학의의(P<0.05)。<br> 결론：봉선법치료소인하검도첩간단역행，유시재환인적배합하가재국부마취하진행，단복발솔교고，부분복발환인수재차수술；부분첩모절제가교철저지해결소인하검도첩문제，복발솔저，단소인수재전신마취하진행，풍험대，병불괄합재림상상엄범보급，가용우특수적병례。
AIM: To compare the clinical results of suture method and partial eyelash resection treating for pediatric eyelid trichiasis, and screen an effective method for the treatment of pediatric lower eyelid trichiasis. <br> METHODS: Fifty-six cases of pediatric patients with lower eyelid trichiasis were randomly divided into a control group and an observation group in accordance with the method of drawing lots, and each group was 28 cases. The control group was treated with suture method, and the observation group was treated with partial eyelash resection. The clinical efficacy, patient satisfaction before and after treatment, and the incidence of complications were compared. <br> RESULTS:(1) The clinically total effective rate was 74%of the control group, which was 89% of the observation group, and there were statistical differences of the clinical efficacy between the two groups ( P<0. 05 ); ( 2 ) the satisfaction scores were (3. 89±1. 22) points and (6. 27±1-86) points of the the control group before and after treatment, which were ( 4. 00±1. 34 ) points and ( 8-95±2-34) points of the observation group, and there were statistical differences of the two groups before and after treatment (P<0. 05), and the scores of the observation group were higher than that of the control group ( P<0-05);(3) complications such as swelling and stitches off appeared in both groups, and the rate was 21% in the control group, which was 11% in the observation group, and there were statistical differences between the two groups (P<0. 05). <br> CONCLUSION: The treatment of children with lower eyelid trichiasis, suture method is simple and can be performed under local anesthesia in collaboration with children, but with a higher relapse rate, some patients required reoperation;partial resection of eyelashes can be more thoroughly solve the problem of pediatric eyelid trichiasis with low recurrence rate, but children need to be under general anesthesia with some of big risk. So partial resection of eyelashes is unsuitable for using in clinical practice widely and can be used in special cases.
