CAJ | 학술논문

目的：探讨激光消融与电解治疗倒睫的疗效与安全性。 　　方法：选取倒睫患者50例76眼，分为激光消融和电解治疗两组进行倒睫治疗，观察记录两组患者术后眼部刺激症状、并发症及复发情况，共观察6 mo。 　　结果：激光消融组一次治愈率81%，复发率19%，总治愈率94%；电解治疗组一次治愈率49%，复发率63%，总治愈率72%。激光消融组一次治愈率和总治疗率显著高于电解治疗组，其复发率低于电解治疗组，两组差异有统计学意义(P<0.05)。激光消融组患者无特殊不适，治疗部位无瘢痕产生及皮肤色素脱失；电解治疗组患者5眼出现轻度瘢痕。 　　结论：激光消融治疗倒睫成功率高，患者术中无不适症状，术后并发症少，是一种有效安全的临床治疗方法。
목적：탐토격광소융여전해치료도첩적료효여안전성。 　　방법：선취도첩환자50례76안，분위격광소융화전해치료량조진행도첩치료，관찰기록량조환자술후안부자격증상、병발증급복발정황，공관찰6 mo。 　　결과：격광소융조일차치유솔81%，복발솔19%，총치유솔94%；전해치료조일차치유솔49%，복발솔63%，총치유솔72%。격광소융조일차치유솔화총치료솔현저고우전해치료조，기복발솔저우전해치료조，량조차이유통계학의의(P<0.05)。격광소융조환자무특수불괄，치료부위무반흔산생급피부색소탈실；전해치료조환자5안출현경도반흔。 　　결론：격광소융치료도첩성공솔고，환자술중무불괄증상，술후병발증소，시일충유효안전적림상치료방법。
AIM: To assess the effect and safety of laser ablation and electrolysis treatment in treating trichiasis. METHODS:Fifty cases ( 76 eyes ) of trichiasis patients were divided into two groups and treated with laser ablation and electrolysis treatment. Post - operative stimulation signs, complications and recurrence were recorded in following 6mo. RESULTS: The first-time success rate of laser ablation was 81%, recurrence rate 19% and total success rate 94%. The first-time success rate of electrolysis treatment was 49%, recurrence rate 63% and total success rate 72%. There were significant differences in the rate of first-time success, recurrence and total success between two groups ( P < 0. 05 ). There were fewer symptoms, complications and no scar in patients with laser ablation. After electrolysis treatment, scar occurred in 5 eyes. CONCLUSION: Laser ablation in treating trichiasis has the advantage of fewer symptoms, complications and high curative rate, and it is an effective and safe clinical promotion.