中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
9期
1116-1118
,共3页
下睑外翻%失张性%手术治疗
下瞼外翻%失張性%手術治療
하검외번%실장성%수술치료
Lower eyelid ectropion%Hypotonic%Operative treatment
目的 观察应用不同手术方法矫正失张性下睑外翻的疗效.方法 对2006年4月至2013年3月在安岳县人民医院眼科收治的失张性下睑外翻患者44例55只眼,根据其下睑外翻程度和局部情况,分别采用下睑板缩短术、眼轮匝肌折叠悬吊固定术和阔筋膜悬吊固定术矫正眼睑外翻.结果 术后随访观察3～7个月.依照评价标准,治愈26只眼,显效23只眼,改善6只眼,无1例失败,总有效率(包括治愈及显效者)89.09％ (49/55).结论 下睑外翻的手术治疗应根据患者的个体化情况选择合适的手术方法,才能达到最佳的矫正效果和目的.
目的 觀察應用不同手術方法矯正失張性下瞼外翻的療效.方法 對2006年4月至2013年3月在安嶽縣人民醫院眼科收治的失張性下瞼外翻患者44例55隻眼,根據其下瞼外翻程度和跼部情況,分彆採用下瞼闆縮短術、眼輪匝肌摺疊懸弔固定術和闊觔膜懸弔固定術矯正眼瞼外翻.結果 術後隨訪觀察3～7箇月.依照評價標準,治愈26隻眼,顯效23隻眼,改善6隻眼,無1例失敗,總有效率(包括治愈及顯效者)89.09％ (49/55).結論 下瞼外翻的手術治療應根據患者的箇體化情況選擇閤適的手術方法,纔能達到最佳的矯正效果和目的.
목적 관찰응용불동수술방법교정실장성하검외번적료효.방법 대2006년4월지2013년3월재안악현인민의원안과수치적실장성하검외번환자44례55지안,근거기하검외번정도화국부정황,분별채용하검판축단술、안륜잡기절첩현조고정술화활근막현조고정술교정안검외번.결과 술후수방관찰3～7개월.의조평개표준,치유26지안,현효23지안,개선6지안,무1례실패,총유효솔(포괄치유급현효자)89.09％ (49/55).결론 하검외번적수술치료응근거환자적개체화정황선택합괄적수술방법,재능체도최가적교정효과화목적.
Objective To evaluate the clinical effect of using different surgical methods to correct eyelid hypotonic ectropion.Methods From April 2006 to March 2013,there were 44 cases (55 eyes) with eyelid hypotonic ectropion were treated in People's Hospital of Anyue County.According to their own conditions,the patients accepted different operation of inferior tarsus shortening,orbicularis oculi suspension fixation and fascia lata lifting.Results In the follow-up of 3 to 7 months after surgery,26 eyes were completely corrected,surgeries on 23 eyes were effective,and 6 eyes were improved.Not a single case of infection or reject reaction was found.The total efficiency (cured or effective ones) was 89.09％.Conclusions The key point of achieving the best effect of correcting lower eyelid hypotonic ectropion is to choose the suitable method according to the patients' condition.
