眼轮匝肌缩短联合下睑缩肌修复在退行性下睑内翻的疗效观察
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摘要
目的观察眼轮匝肌缩短联合下睑缩肌修复在退行性下睑内翻的临床效果。方法选取2014年7月～2017年1月就诊于我科的退行性下睑内翻患者120例(134眼),随机分为A、B两组。A组48例(58眼)采用单纯眼轮匝肌切除术,B组72例(76眼)采用眼轮匝肌缩短联合下睑缩肌修复。观察两组患者术后1周、1个月、6个月、1年的术后效果及并发症情况。结果两组患者术后1周、1个月内矫正情况比较,差异无统计学意义(P>0.05),但术后6个月、1年随访可见,B组患者矫正有效率分别为97.21%和100.00%,优于A组的86.21%和72.42%,差异具有统计学意义(P<0.05)。两组患者均未发生严重并发症。结论眼轮匝肌缩短联合下睑缩肌修复治疗退行性下睑内翻,解决了下睑水平和垂直方向松弛,并将眼轮匝肌固定于睑板下缘,避免眼轮匝肌产生骑跨,疗效可靠、稳定。
Objective To observe the clinical effect of orbital sacral muscle shortening combined with mandibular muscle repair in degenerative lower eyelid entropion. Methods A total of 120 patients(134 eyes) with degenerative lower eyelid entropion who were admitted to our department from July 2014 to January 2017 were randomly divided into A and B groups. In group A, 48 patients(58 eyes) underwent simple orbicularis muscle resection,and in group B, 72 patients(76 eyes) were treated with orbicularis muscle shortening combined with inferior condylar muscle repair. The postoperative results and complications of the two groups were observed at 1 week, 1 month, 6 months and 1 year after operation. Results There was no significant difference in the correction between the two groups at 1 week and 1 month after operation( P>0.05), but the follow-up at 6 months and 1 year showed that the correction efficiency of group B was 97.21% and 100.00%, better than 86.21% and 72.42% of group A, the difference was statistically significant(P<0.05). No serious complications occurred in either group. Conclusion Treatment of degenerative lower eyelid entropion with shortening of the orbicularis oculi muscle, resolving the horizontal and vertical relaxation of the chin, and fixing the orbicularis oculi muscle to the lower edge of the tarsal plate to avoid the ride of the orbicularis oculi muscle. The curative effect is reliable and stable.
Objective To observe the clinical effect of orbital sacral muscle shortening combined with mandibular muscle repair in degenerative lower eyelid entropion. Methods A total of 120 patients(134 eyes) with degenerative lower eyelid entropion who were admitted to our department from July 2014 to January 2017 were randomly divided into A and B groups. In group A, 48 patients(58 eyes) underwent simple orbicularis muscle resection,and in group B, 72 patients(76 eyes) were treated with orbicularis muscle shortening combined with inferior condylar muscle repair. The postoperative results and complications of the two groups were observed at 1 week, 1 month, 6 months and 1 year after operation. Results There was no significant difference in the correction between the two groups at 1 week and 1 month after operation( P>0.05), but the follow-up at 6 months and 1 year showed that the correction efficiency of group B was 97.21% and 100.00%, better than 86.21% and 72.42% of group A, the difference was statistically significant(P<0.05). No serious complications occurred in either group. Conclusion Treatment of degenerative lower eyelid entropion with shortening of the orbicularis oculi muscle, resolving the horizontal and vertical relaxation of the chin, and fixing the orbicularis oculi muscle to the lower edge of the tarsal plate to avoid the ride of the orbicularis oculi muscle. The curative effect is reliable and stable.
引文
[1]赵堪兴,杨培增.眼科学[M].第8版.北京:人民卫生出版社,2013:75-76.
[2]马凤娟,孙英.眼轮匝肌处理在退行性下睑内翻矫正术中的应用[J].临床眼科杂志,2013,21(1):69-71.
[3]黄瑞尧,李万鹏,蒋克非,等.下睑缩肌转位术治疗老年性下睑内翻的疗效[J].国际眼科杂志,2015,15(2):357-358.
[4]孟昭君,陈涛.改良外眦韧带缩短联合眼轮匝肌缩短术治疗退行性下睑内翻的效果[J].眼科,2017,26(6):411-413.
[5]程笑冬.老年性下睑内翻的临床疗效观察[J].中国医疗美容,2016,6(3):6-8.
[2]马凤娟,孙英.眼轮匝肌处理在退行性下睑内翻矫正术中的应用[J].临床眼科杂志,2013,21(1):69-71.
[3]黄瑞尧,李万鹏,蒋克非,等.下睑缩肌转位术治疗老年性下睑内翻的疗效[J].国际眼科杂志,2015,15(2):357-358.
[4]孟昭君,陈涛.改良外眦韧带缩短联合眼轮匝肌缩短术治疗退行性下睑内翻的效果[J].眼科,2017,26(6):411-413.
[5]程笑冬.老年性下睑内翻的临床疗效观察[J].中国医疗美容,2016,6(3):6-8.