右江民族医学院学报
右江民族醫學院學報
우강민족의학원학보
JOURNAL OF YOUJIANG MEDICAL COLLEGE FOR NATIONALITIES
2015年
3期
443-444,459
,共3页
眼睑轮匝肌折叠缩短术%眼睑轮匝肌切除术%老年性下睑内翻
眼瞼輪匝肌摺疊縮短術%眼瞼輪匝肌切除術%老年性下瞼內翻
안검륜잡기절첩축단술%안검륜잡기절제술%노년성하검내번
fold eyelid orbicularis oculi muscle shortening%eyelid orbicularis oculi muscle resection%se-nile inferior entropion
目的：比较眼睑轮匝肌折叠缩短术和眼睑轮匝肌切除术治疗老年性下睑内翻的临床疗效。方法选取2012年1月~2013年1月我科收治的110例(110只眼)老年性下睑内翻为研究对象,根据手术方式的不同分为 A 组(57例,57只眼)和 B 组(53例,53只眼),A 组行眼睑轮匝肌折叠缩短术,B 组采用眼睑轮匝肌切除术。比较两组患者的治疗效果、术后并发症发生情况及术后2年的复发率。结果 A 组的有效率(96.49%)高于 B 组(81.13%),差异具有统计学意义(P <0.05)；A 组患者术后并发症发生率(8.77%)低于 B 组(13.21%),两组比较差异无统计学意义(P >0.05)；A组患者术后2年的复发率(1.75%)低于 B 组(15.09%),差异具有统计学意义(P <0.05)。结论眼睑轮匝肌折叠缩短术治疗老年性下睑内翻较眼轮匝肌切除术的临床疗效好,值得在临床上推广使用。
目的：比較眼瞼輪匝肌摺疊縮短術和眼瞼輪匝肌切除術治療老年性下瞼內翻的臨床療效。方法選取2012年1月~2013年1月我科收治的110例(110隻眼)老年性下瞼內翻為研究對象,根據手術方式的不同分為 A 組(57例,57隻眼)和 B 組(53例,53隻眼),A 組行眼瞼輪匝肌摺疊縮短術,B 組採用眼瞼輪匝肌切除術。比較兩組患者的治療效果、術後併髮癥髮生情況及術後2年的複髮率。結果 A 組的有效率(96.49%)高于 B 組(81.13%),差異具有統計學意義(P <0.05)；A 組患者術後併髮癥髮生率(8.77%)低于 B 組(13.21%),兩組比較差異無統計學意義(P >0.05)；A組患者術後2年的複髮率(1.75%)低于 B 組(15.09%),差異具有統計學意義(P <0.05)。結論眼瞼輪匝肌摺疊縮短術治療老年性下瞼內翻較眼輪匝肌切除術的臨床療效好,值得在臨床上推廣使用。
목적：비교안검륜잡기절첩축단술화안검륜잡기절제술치료노년성하검내번적림상료효。방법선취2012년1월~2013년1월아과수치적110례(110지안)노년성하검내번위연구대상,근거수술방식적불동분위 A 조(57례,57지안)화 B 조(53례,53지안),A 조행안검륜잡기절첩축단술,B 조채용안검륜잡기절제술。비교량조환자적치료효과、술후병발증발생정황급술후2년적복발솔。결과 A 조적유효솔(96.49%)고우 B 조(81.13%),차이구유통계학의의(P <0.05)；A 조환자술후병발증발생솔(8.77%)저우 B 조(13.21%),량조비교차이무통계학의의(P >0.05)；A조환자술후2년적복발솔(1.75%)저우 B 조(15.09%),차이구유통계학의의(P <0.05)。결론안검륜잡기절첩축단술치료노년성하검내번교안륜잡기절제술적림상료효호,치득재림상상추엄사용。
Objective To compare the clinical efficacy of fold eyelid orbicularis oculi muscle shortening and eyelid orbicularis oculi muscle resection in the treatment of senile inferior entropion. Methods A total of 1 10 cases (1 10 eyes)of senile inferior entropion were collected as the research object cared at our hospital from 2012 January to 2013 January.According to the different treatment methods the cases were divided into group A(57 cases,57 eyes)and group B (53 cases,53 eyes).Group A underwent fold eyelid orbicularis oculi muscle shortening and group B underwent eyelid orbicularis oculi muscle resection.The effect of treatment,postopera-tive complications and 2-year recurrence rate were compared between the two groups. Results The total re-sponse rate of group A (96.49%)were higher than that of group B (81.13%),the difference was statistically significant (P <0.05).The incidence of postoperative complications of group A (8.77%)was lower than that of group B (13.21%),but the difference was not statistically significant (P >0.05).The post-operative 2-year recurrence rate of group A (1.75%)was lower than that of group B (15.09%),the difference was statis-tically significant (P <0.05). Conclusion The clinical curative effect of fold eyelid orbicularis oculi muscle shortening is better than eyelid orbicularis oculi muscle resection,it is worthy of recommendation in clinical practice.
