先天性下眼睑内翻的眼轮匝肌环形切除与下眼睑缘固定治疗的比较。
Comparison of the cutaneous orbicularis oculi excision treatment with the inferior eyelid margin fixation treatment for congenital lower eyelid entropion.
机构信息
Department of Ophthalmology and Plastic Surgery, Affiliated Eye Hospital of Nanchang University, Jiangxi Research Institute of Ophthalmology and Visual Science, Jiangxi Provincial Key Laboratory for Ophthalmology, 463 Bayi Avenue, Donghu District, Nanchang, 330006, Jiangxi, China.
出版信息
Int Ophthalmol. 2023 Jul;43(7):2153-2159. doi: 10.1007/s10792-022-02610-0. Epub 2023 Jan 5.
PURPOSE
To modify the traditional surgical approach to treat patients diagnosed with congenital lower eyelid entropion using inferior eyelid margin fixation of the orbicularis eyelid muscle.
METHODS
Ninety-six participants (180 eyes) with congenital lower eyelid entropion diagnosed between January 2019 and April 2021 were included in this study. The patients were divided into Group A (cutaneous orbicularis oculi excision treatment) and Group B (inferior eyelid margin fixation treatment). The efficiency and recurrence rate of treatments were used to compare the two treatments.
RESULTS
There was no significant difference in age, sex, and eyes distribution in both groups. And higher efficiency rate was found in Group B (P < 0.05). And Group A had a higher recurrence rate in the follow-up after surgical treatment (P < 0.05).
CONCLUSIONS
This modified inferior eyelid margin fixation of the orbicularis eyelid muscle treatment is an ideal procedure with a high degree of efficacy and low recurrence rate in patients with congenital lower eyelid entropion.
目的
通过对眼轮匝肌下眼睑缘固定术进行改良，治疗先天性下眼睑内翻患者。
方法
纳入 2019 年 1 月至 2021 年 4 月诊断为先天性下眼睑内翻的 96 例（180 只眼）患者，将其分为 A 组（皮肤眼轮匝肌切除术治疗）和 B 组（下眼睑缘固定治疗）。比较两种治疗方法的疗效和复发率。
结果
两组患者在年龄、性别和眼部分布方面差异无统计学意义。B 组的有效率更高（P<0.05）。术后随访时，A 组的复发率更高（P<0.05）。
结论
改良的眼轮匝肌下眼睑缘固定术是一种治疗先天性下眼睑内翻的理想方法，疗效高，复发率低。
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