中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2015年
4期
212-215
,共4页
左兰%程建霞%黄鑫宇%杜园园
左蘭%程建霞%黃鑫宇%杜園園
좌란%정건하%황흠우%두완완
睑内翻,先天性%内眦赘皮%下睑退缩%内眦赘皮矫正术%下睑缩肌后徙术
瞼內翻,先天性%內眥贅皮%下瞼退縮%內眥贅皮矯正術%下瞼縮肌後徙術
검내번,선천성%내자췌피%하검퇴축%내자췌피교정술%하검축기후사술
Entropion,Congenital%Epicanthus%Lower eyelid retraction%Epicanthoplasty%Recession of lower eyelid retractors
目的 评价个性化术式治疗先天性睑内翻的临床效果.方法 收集先天性睑内翻患者150例(285只眼),单纯的先天性睑内翻采用单纯切开缝合术;单纯下睑赘皮的睑内翻采用睑内翻矫正术联合下睑赘皮去除术;伴有内眦赘皮和下睑赘皮的睑内翻采用下睑赘皮去除术联合内眦Y-V成形术;睑内翻伴有下睑退缩采用睑内翻矫正术联合下睑缩肌后徙术.评价术后恢复情况如治愈率、复率及术后并发症.结果 患者术后恢复良好,无复发及并发症.术后总治愈率98.6％(281/285),其中单纯切开缝合术治疗25只眼,好转2只眼,治愈23只眼(92.0％);单纯下睑赘皮去除术治疗41只眼,治愈41只眼(100.0％);下睑赘皮去除术联合内眦Y-V成形术治疗180只眼,好转1只眼,治愈179只眼(99.4％);下睑缩肌后徙术治疗39只眼,治愈38只眼(97.4％).结论 采用个性化手术治疗方式矫正先天性睑内翻,不但手术效果良好,治愈率高,而且避免了术后复发率及不良并发症.
目的 評價箇性化術式治療先天性瞼內翻的臨床效果.方法 收集先天性瞼內翻患者150例(285隻眼),單純的先天性瞼內翻採用單純切開縫閤術;單純下瞼贅皮的瞼內翻採用瞼內翻矯正術聯閤下瞼贅皮去除術;伴有內眥贅皮和下瞼贅皮的瞼內翻採用下瞼贅皮去除術聯閤內眥Y-V成形術;瞼內翻伴有下瞼退縮採用瞼內翻矯正術聯閤下瞼縮肌後徙術.評價術後恢複情況如治愈率、複率及術後併髮癥.結果 患者術後恢複良好,無複髮及併髮癥.術後總治愈率98.6％(281/285),其中單純切開縫閤術治療25隻眼,好轉2隻眼,治愈23隻眼(92.0％);單純下瞼贅皮去除術治療41隻眼,治愈41隻眼(100.0％);下瞼贅皮去除術聯閤內眥Y-V成形術治療180隻眼,好轉1隻眼,治愈179隻眼(99.4％);下瞼縮肌後徙術治療39隻眼,治愈38隻眼(97.4％).結論 採用箇性化手術治療方式矯正先天性瞼內翻,不但手術效果良好,治愈率高,而且避免瞭術後複髮率及不良併髮癥.
목적 평개개성화술식치료선천성검내번적림상효과.방법 수집선천성검내번환자150례(285지안),단순적선천성검내번채용단순절개봉합술;단순하검췌피적검내번채용검내번교정술연합하검췌피거제술;반유내자췌피화하검췌피적검내번채용하검췌피거제술연합내자Y-V성형술;검내번반유하검퇴축채용검내번교정술연합하검축기후사술.평개술후회복정황여치유솔、복솔급술후병발증.결과 환자술후회복량호,무복발급병발증.술후총치유솔98.6％(281/285),기중단순절개봉합술치료25지안,호전2지안,치유23지안(92.0％);단순하검췌피거제술치료41지안,치유41지안(100.0％);하검췌피거제술연합내자Y-V성형술치료180지안,호전1지안,치유179지안(99.4％);하검축기후사술치료39지안,치유38지안(97.4％).결론 채용개성화수술치료방식교정선천성검내번,불단수술효과량호,치유솔고,이차피면료술후복발솔급불량병발증.
Objective To evaluate the clinical effect of the individualized treatment of congential entropion.Methods Totally 150 patients (285 eyes) with congenital entropion were analyzed,the individualized procedures were performed,including the simple incision and suture surgery for simple congenital entropion,removing the redundant skin of lower eyelid for congenital entropion with redundant skin of lower eyelid but without epicanthus,the correction of entropion combined with " Y-V" epicanthoplasty for congenital entropion with epicanthus and the recession of lower eyelid retractor for congenital entropion with lower eyelid retraction.The clinical effect,the percentage of cure and the complication of these cases were evaluated.Results The excellent results were achieved and no relapse or complications occurred in all cases.The total cure rate was 98.6％ (281 of 285 eyes).The cure rate of simple congenital entropion was 92.0％ (23 of 25 eyes).The cure rate of congenital entropion with redundant skin of lower eyelid was 100％ (41 of 41 eyes).The cure rate of congenital halflength entropion accompanied by epicanthus was 99.4 ％ (179/180 eyes).The cure rate of congenital entropion associated with lower eyelid retraction was 97.4％ (38 of 39 eyes).Conclusions Individualized operations not only have well curative effect for various congenital entropions,but recurrence rate and complications have been reduced.
