眼轮匝肌缩短改良术治疗老年性下眼睑内翻的效果(1)
[摘要]目的 评价眼轮匝肌缩短改良术治疗老年性下眼睑内翻的临床效果。方法 选取2017年1月～2018年6月我院收治的90例老年性下眼睑内翻患者，依据随机双盲原则分为常规组(45例共59眼)与改良组(45例共61眼)。常规组接受常规切除手术治疗，改良组接受改良手术治疗，比较两组的术后治疗效果和远期治疗效果。结果 改良组患者的治疗总有效率明显高于常规组(P<0.05);改良組患者的术后并发症总发生率明显低于常规组(P<0.05);6个月的跟踪随访结果显示，改良组患者的疾病复发率明显低于常规组(P<0.05)。结论 眼轮匝肌缩短改良术治疗老年性下眼睑内翻的术后近期疗效和远期疗效都好于传统切除治疗，且并发症少，值得临床推广。
[关键词]眼轮匝肌缩短改良术;老年性;下眼睑内翻;临床疗效
[中图分类号] R777.1+5 [文献标识码] A [文章编号] 1674-4721(2019)7(b)-0116-04
[Abstract] Objective To evaluate the clinical effect of improvement operation of orbital palpebral muscle shortening in the treatment of senile lower eyelid entropion. Methods From January 2017 to June 2018， 90 patients with senile lower eyelid entropion were selected and divided into the routine group (59 eyes in 45 cases) and the modified group (61 eyes in 45 cases) according to the principle of random double-blind. The routine group received routine excision surgery， and the modified group received modified surgery. The curative effect and long-term curative effect of the two groups were compared. Results The total effective rate of the modified group was significantly higher than that of the routine group (P<0.05). The total incidence of postoperative complications in the modified group was significantly lower than that in the routine group (P<0.05). The 6-month follow-up showed that the recurrence rate in the modified group was significantly lower than that in the routine group (P<0.05). Conclusion The short-term and long-term results of the improvement operation of orbital palpebral muscle shortening in the treatment of senile lower eyelid entropion are better than those of traditional excision therapy， and the complications are less， which is worthy of clinical promotion.
[Key words] Improvement operation of orbital palpebral muscle shortening; Geriatrics; Lower eyelids entropion; Clinical efficacy
老年人身体各方面的功能逐渐发生退行性改变，下眼睑的收缩能力也逐渐降低，对轮匝肌失去牵引作用，且老年人眼部的脂肪减少，导致下眼睑失去了支撑物，从而产生下眼睑内翻，即老年性下眼睑内翻。本病临床主要症状为异物感、刺痛、畏光等，多采用手术方式进行治疗，但是常规眼睑皮肤轮匝肌切除术从远期疗效来看并不理想，患者疾病复发的情况较多，导致患者不得不再次进行手术治疗，这对患者的生理和心理都会造成一定影响[1]。随着我国人口老龄化的加剧，老年性下眼睑内翻的发生率也在不断升高，所以临床加强了对这一疾病的研究。文献显示，眼轮匝肌缩短改良术治疗老年性下眼睑内翻具有良好效果，可有效减少病症复发的情况[2]。为提高我院治疗该疾病的水平，本研究就此进行探讨，现报道如下。
1资料与方法
1.1一般资料
选取2017年1月～2018年6月在我院接受老年性下眼睑内翻治疗的90例患者作为研究对象，依据随机双盲原则分为常规组(45例共59眼)与改良组(45例共61眼)。常规组中，男24例，女21例;14例患者为双眼病变，31例患者为单眼病变;年龄为61～76岁，平均(68.5±6.2)岁;病程为5个月～2年，平均(1.3±0.5)年。改良组中，男22例，女23例;16例患者为双眼病变，29例患者为单眼病变;年龄为62～80岁，平均(69.8±7.3)岁;病程为8个月～3年，平均(1.4±0.6)年。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(程菲 吴周泉)
[关键词]眼轮匝肌缩短改良术;老年性;下眼睑内翻;临床疗效
[中图分类号] R777.1+5 [文献标识码] A [文章编号] 1674-4721(2019)7(b)-0116-04
[Abstract] Objective To evaluate the clinical effect of improvement operation of orbital palpebral muscle shortening in the treatment of senile lower eyelid entropion. Methods From January 2017 to June 2018， 90 patients with senile lower eyelid entropion were selected and divided into the routine group (59 eyes in 45 cases) and the modified group (61 eyes in 45 cases) according to the principle of random double-blind. The routine group received routine excision surgery， and the modified group received modified surgery. The curative effect and long-term curative effect of the two groups were compared. Results The total effective rate of the modified group was significantly higher than that of the routine group (P<0.05). The total incidence of postoperative complications in the modified group was significantly lower than that in the routine group (P<0.05). The 6-month follow-up showed that the recurrence rate in the modified group was significantly lower than that in the routine group (P<0.05). Conclusion The short-term and long-term results of the improvement operation of orbital palpebral muscle shortening in the treatment of senile lower eyelid entropion are better than those of traditional excision therapy， and the complications are less， which is worthy of clinical promotion.
[Key words] Improvement operation of orbital palpebral muscle shortening; Geriatrics; Lower eyelids entropion; Clinical efficacy
老年人身体各方面的功能逐渐发生退行性改变，下眼睑的收缩能力也逐渐降低，对轮匝肌失去牵引作用，且老年人眼部的脂肪减少，导致下眼睑失去了支撑物，从而产生下眼睑内翻，即老年性下眼睑内翻。本病临床主要症状为异物感、刺痛、畏光等，多采用手术方式进行治疗，但是常规眼睑皮肤轮匝肌切除术从远期疗效来看并不理想，患者疾病复发的情况较多，导致患者不得不再次进行手术治疗，这对患者的生理和心理都会造成一定影响[1]。随着我国人口老龄化的加剧，老年性下眼睑内翻的发生率也在不断升高，所以临床加强了对这一疾病的研究。文献显示，眼轮匝肌缩短改良术治疗老年性下眼睑内翻具有良好效果，可有效减少病症复发的情况[2]。为提高我院治疗该疾病的水平，本研究就此进行探讨，现报道如下。
1资料与方法
1.1一般资料
选取2017年1月～2018年6月在我院接受老年性下眼睑内翻治疗的90例患者作为研究对象，依据随机双盲原则分为常规组(45例共59眼)与改良组(45例共61眼)。常规组中，男24例，女21例;14例患者为双眼病变，31例患者为单眼病变;年龄为61～76岁，平均(68.5±6.2)岁;病程为5个月～2年，平均(1.3±0.5)年。改良组中，男22例，女23例;16例患者为双眼病变，29例患者为单眼病变;年龄为62～80岁，平均(69.8±7.3)岁;病程为8个月～3年，平均(1.4±0.6)年。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(程菲 吴周泉)