中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
Chinese Journal of ocular trauma and occupational eye disease
2015年
8期
593-595
,共3页
丁娟%潘叶%赵红%翟文娟
丁娟%潘葉%趙紅%翟文娟
정연%반협%조홍%적문연
眼睑内翻,先天性%下睑退缩%缝线术%眼科手术
眼瞼內翻,先天性%下瞼退縮%縫線術%眼科手術
안검내번,선천성%하검퇴축%봉선술%안과수술
Entropion,congential%Retraction,lower lid%Suture%Surgery,ophthalmic
目的 探讨先天性睑内翻同时存在眼睑退缩的手术治疗方式.方法 先天性下睑内翻合并眼睑退缩35例(70眼)进行内路下睑缩肌切除联合缝线法矫正手术.经结膜入路,完全暴露下睑缩肌前表面,沿睑板下缘分离下睑缩肌,将下睑缩肌完全分离至下穹隆,于穹隆水平切断并部分切除.缝合结膜切口后行缝线法,即2号丝线双针经距睑缘2 mm皮肤进针、穹隆部结膜出针,再反转回皮肤睑缘下,做3对褥式缝线,术后随访5～7个月,测量下睑位置,观察手术效果.以下睑位于角膜下缘之上0.5 mm且睫毛不向内翻转为治愈.结果 35例(70眼)符合纳入标准,随访期末,33例(66眼)睑内翻矫正良好,2例(4眼)睑内翻矫正不足,治愈率94.29％.复发2例,二次手术行L型皮肤切除联合下睑部分轮匝肌切除,术后效果良好.无过矫、外翻或眼睑角状畸形者.结论 内路下睑缩肌切除联合缝线法治疗先天性下睑内翻合并睑退缩可获得较好的疗效.
目的 探討先天性瞼內翻同時存在眼瞼退縮的手術治療方式.方法 先天性下瞼內翻閤併眼瞼退縮35例(70眼)進行內路下瞼縮肌切除聯閤縫線法矯正手術.經結膜入路,完全暴露下瞼縮肌前錶麵,沿瞼闆下緣分離下瞼縮肌,將下瞼縮肌完全分離至下穹隆,于穹隆水平切斷併部分切除.縫閤結膜切口後行縫線法,即2號絲線雙針經距瞼緣2 mm皮膚進針、穹隆部結膜齣針,再反轉迴皮膚瞼緣下,做3對褥式縫線,術後隨訪5～7箇月,測量下瞼位置,觀察手術效果.以下瞼位于角膜下緣之上0.5 mm且睫毛不嚮內翻轉為治愈.結果 35例(70眼)符閤納入標準,隨訪期末,33例(66眼)瞼內翻矯正良好,2例(4眼)瞼內翻矯正不足,治愈率94.29％.複髮2例,二次手術行L型皮膚切除聯閤下瞼部分輪匝肌切除,術後效果良好.無過矯、外翻或眼瞼角狀畸形者.結論 內路下瞼縮肌切除聯閤縫線法治療先天性下瞼內翻閤併瞼退縮可穫得較好的療效.
목적 탐토선천성검내번동시존재안검퇴축적수술치료방식.방법 선천성하검내번합병안검퇴축35례(70안)진행내로하검축기절제연합봉선법교정수술.경결막입로,완전폭로하검축기전표면,연검판하연분리하검축기,장하검축기완전분리지하궁륭,우궁륭수평절단병부분절제.봉합결막절구후행봉선법,즉2호사선쌍침경거검연2 mm피부진침、궁륭부결막출침,재반전회피부검연하,주3대욕식봉선,술후수방5～7개월,측량하검위치,관찰수술효과.이하검위우각막하연지상0.5 mm차첩모불향내번전위치유.결과 35례(70안)부합납입표준,수방기말,33례(66안)검내번교정량호,2례(4안)검내번교정불족,치유솔94.29％.복발2례,이차수술행L형피부절제연합하검부분륜잡기절제,술후효과량호.무과교、외번혹안검각상기형자.결론 내로하검축기절제연합봉선법치료선천성하검내번합병검퇴축가획득교호적료효.
Objective To investigate the effect of surgical treatment on congenital entropion combined with lower lid retraction.Methods Seventy eyes of 35 cases of congenital entropion combined with lower lid retraction underwent the surgical treatment of retractor myectomy combined with rotational suture.During the surgery,the lowerlid retraction muscle was cut off along with inferior border of lower tarsus,and the conjunctiva was sutured with 6-0 polyglycolic sutures,for the rotational suture procedure,after marking the normal position of the eyelid crease,one needle of a double-armed 2-0 nylon sutures was inserted through skin 2 mm away from the inferior border of the tarsus and withdrawed from the conjunctiva and then reversed to skin in the previously marked eyelid crease to make three pair of mattress-suture.The follow-up was 5 to 7 months.The position of lower lid margin was measured and the effect after surgery was observed.The cure criterion was that the lower lid margin was located 0.5 mm above inferior corneal limbus and no trichiasis occurred.Results After the operation,among 70 eyes the position of lower lid was normal in 66 eyes.Another 4 eyes received reoperation.Conclusion Myectomy of lower lid retractor combined with rotational suture is effective for congenital lowerlid entropion with lower lid retraction.
