[用于退行性下睑内翻的宽外翻缝合术]
[Wide everting suture for involutional lower lid entropion].
作者信息
Hayashi Kengo, Ohno-Matsui Kyoko, Moriyama Muka, Hayashi Wakako, Mochizuki Manabu
机构信息
Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Japan.
出版信息
Nippon Ganka Gakkai Zasshi. 2011 Jun;115(6):529-34.
PURPOSE
To describe a wide everting suture technique for involutional lower lid entropion and evaluate the outcomes of the procedure.
METHODS
The procedure was performed as a modified Komoto procedure except that a wide suture was placed along the whole inversion lid length using a single nonabsorbable stitch. The criteria for recurrence were eyelashes contacting the cornea and keratopathy. The medical records of patients with a minimum follow-up of 3 months after the surgery were retrospectively examined.
RESULTS
This study included 41 lower eyelids of 36 patients. The mean postoperative follow-up period was 10.8 months (range, 3-30 months). The recurrence rate was 7.3% (3/41). There were no postoperative complications such as ectropion.
CONCLUSIONS
We found the wide everting suture was a simple, quick and minimally-invasive method of treating involutional entropion. Our results suggest that this procedure might correct both vertical and horizontal laxity and be effective for involutional entropion.
目的
描述一种用于退行性下睑内翻的宽外翻缝合技术，并评估该手术的效果。
方法
该手术是改良的小本手术，不同之处在于使用单根不可吸收缝线沿整个内翻睑缘全长进行宽缝合。复发的标准为睫毛接触角膜和角膜病变。对术后至少随访3个月的患者病历进行回顾性检查。
结果
本研究纳入了36例患者的41只下睑。术后平均随访期为10.8个月（范围3 - 30个月）。复发率为7.3%（3/41）。未出现诸如睑外翻等术后并发症。
结论
我们发现宽外翻缝合是一种治疗退行性内翻的简单、快速且微创的方法。我们的结果表明，该手术可能纠正垂直和水平松弛，对退行性内翻有效。
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