[1]宋 昱,陆 骏,李 鸿.下睑皮肤眼轮匝肌切除术治疗儿童先天性睑内翻合并倒睫的临床及美学效果评价[J].中国美容医学,2024,(3):33-36.
　SONG Yu,LU Jun,LI Hong.Evaluation of Clinical and Aesthetic Effects of Cutaneous Orbicularis Oculi Resection of Lower Eyelid in the Treatment of Congenital Entropion with Trichiasis in Children[J].Medical Aesthetics and Beauty,2024,(3):33-36.
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下睑皮肤眼轮匝肌切除术治疗儿童先天性睑内翻合并倒睫的临床及美学效果评价()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年3期
页码:
33-36
栏目:
出版日期:
2024-03-10

文章信息/Info

Title:
Evaluation of Clinical and Aesthetic Effects of Cutaneous Orbicularis Oculi Resection of Lower Eyelid in the Treatment of Congenital Entropion with Trichiasis in Children
文章编号:
1008-6455（2024）03-0033-04
作者:
宋 昱; 陆 骏; 李 鸿
(泰州市中医院眼科 江苏 泰州 225300 )
Author(s):
SONG Yu; LU Jun; LI Hong
(Department of Ophthalmology,Taizhou Traditional Chinese Medicine Hospital,Taizhou 225300,Jiangsu,China)
关键词:
下睑皮肤眼轮匝肌切除术; 先天性睑内翻; 倒睫; 患儿; 美学效果
Keywords:
lower eyelid skin orbicularis oculi muscle resection;  congenital introphy;  trichiasis;  child patient;  aesthetic eff ect
分类号:
R779.6
文献标志码:
A
摘要:
目的：探究下睑皮肤眼轮匝肌切除术治疗儿童先天性睑内翻合并倒睫的临床及美学效果。方法：选取笔者医院2017 年2月-2021年10月收治的80例先天性睑内翻合并倒睫患儿，按照入院顺序将患儿随机分为观察组和对照组，每组40例。对 照组采用单纯下睑皮肤眼轮匝肌双层缝合术矫治，观察组采用下睑皮肤眼轮匝肌切除术矫治。比较两组患者术后1个月临床 疗效、术前和术后6个月角膜散光值（Cornea cylinder,CC）、总散光值（Retinography cylinder,RC）、最佳矫正视力 （Best corrected visual acuity,BCVA）以及美学评分，回访记录并比较两组患儿术后并发症发生率及复发率。结果： 观察组术后1个月临床总有效率显著高于对照组（P＜0.05）；术后6个月，观察组患儿CC值、RC值、BCVA均显著低于对照 组（P＜0.05），美学评分显著高于对照组（P＜0.05）；观察组术后并发症发生率、复发率显著低于对照组（P＜0.05）。 结论：下睑皮肤眼轮匝肌切除术可有效提高先天性睑内翻合并倒睫临床疗效，改善患儿视力，降低并发症发生率及复发率， 提高眼睑美观度。
Abstract:
Objective To investigate the efficacy and aesthetic effect evaluation of lower eyelid cutaneous orbicularis oculi muscle resection in children with congenital inversion and trichiasis. Methods A total of 80 children with congenital entropion combined with trichiasis admitted to the author’s hospital from February 2017 to October 2021 were randomly divided into observation group and control group, with 40 cases in each group. The control group was treated by simple double suture of the orbicularis oculi oculi muscle of the lower eyelid skin, and the observation group was corrected by orbicularis oculi resection of the lower eyelid skin. The clinical effi cacy of the two groups at one month after surgery, cornea cylinder (CC) value, total retinography cylinder (RC), best corrected visual acuity (BCVA) and aesthetic score at 6 months before and after surgery were compared, and the postoperative complication rate and recurrence rate of the two groups were compared. Results The total clinical eff ective rate of the observation group was signifi cantly higher than that of the control group (P ＜0.05) at one month after surgery, and the CC value, RC value and BCVA of the observation group were signifi cantly lower than those in the control group (P ＜0.05) and the aesthetic score was signifi cantly higher than that of the control group at 6 months after surgery (P＜0.05), and the postoperative complication rate and recurrence rate in the observation group were signifi cantly lower than that in the control group (P ＜0.05). Conclusion Lower eyelid cutaneous orbicularis oculi muscle resection can eff ectively improve the clinical effi cacy of congenital inversion combined with trichiasis, improve the visual acuity of children, reduce the morbidity and recurrence rate, and improve the aesthetic eff ect of eyelids.
更新日期/Last Update: 2024-03-20