CAJ | 학술논문

目的：：探讨下睑缩肌转位术治疗老年性下睑内翻的临床效果。方法：对50例86眼老年性下睑内翻患者采用下睑缩肌转位术矫正作为试验组,另42例68眼老年性下睑内翻患者采用眼轮匝肌折叠缩短术矫正作为对照组,观察术后1 wk患者的矫正率、双眼睑对称性、过矫率；并随访6~12mo,观察远期复发率、双眼睑对称性、过矫率。结果：术后1 wk双眼睑对称性、过矫率试验组与对照组差异有统计学意义(P<0.05)；随访6~12mo,双眼睑对称性、过矫率试验组与对照组差异有统计学意义(P<0.05)。结论：与眼轮匝肌折叠缩短术治疗老年性下睑内翻相比,下睑缩肌转位术治疗老年性下睑内翻的临床效果在术后双眼睑对称性、过矫率方面具有明显的优势。
목적：：탐토하검축기전위술치료노년성하검내번적림상효과。방법：대50례86안노년성하검내번환자채용하검축기전위술교정작위시험조,령42례68안노년성하검내번환자채용안륜잡기절첩축단술교정작위대조조,관찰술후1 wk환자적교정솔、쌍안검대칭성、과교솔；병수방6~12mo,관찰원기복발솔、쌍안검대칭성、과교솔。결과：술후1 wk쌍안검대칭성、과교솔시험조여대조조차이유통계학의의(P<0.05)；수방6~12mo,쌍안검대칭성、과교솔시험조여대조조차이유통계학의의(P<0.05)。결론：여안륜잡기절첩축단술치료노년성하검내번상비,하검축기전위술치료노년성하검내번적림상효과재술후쌍안검대칭성、과교솔방면구유명현적우세。
AlM:To explore treatment efficacy of the lower eyelid twitch muscle transposition surgery in senile entropion.METHODS:Fifty cases (86 eyes) of senile lower eyelid entropion patients underwent lower eyelid twitch muscle transposition correction surgery as the experimental group, and the other 42 cases (68 eyes) of senile lower eyelid entropion patients received orbicularis muscle shortening correction as controls group. The correction rate, double eyelid symmetry and overcorrection rate of patients were observed one week after surgery. The patients were followed up for 6~12mo to be observed the long-term recurrence rate, double eyelid symmetry and overcorrection rate.RESULTS: One week after operation, eyelid symmetry, overcorrection rate of experimental group and control group had significant difference (P<0. 05); After followed up for 6 ~12mo, eyelid symmetry, overcorrection rate of experimental group and control group had significant difference (P<0. 05). CONCLUSlON: Folding and orbicularis muscle shortening treatment of senile entropion was compared with the lower eyelid twitch muscle transposition surgery treatment of senile entropion, We can find that clinical results in double eyelid surgery symmetry and overcorrection rate are of obvious advantage.