目的：观察改良式眼轮匝肌紧缩术联合下睑缩肌腱膜缝合术治疗老年性下睑内翻的临床疗效，为临床治疗方案的制定提供参考。

方法：回顾性分析2009-08/2012-08在我院接受手术治疗的老年性下睑内翻患者218例，根据手术方法的不同分为观察组128例和对照组90例。观察组采用改良式眼轮匝肌紧缩术联合下睑缩肌腱膜缝合术进行治疗，对照组采用缝线加缘间切开术进行治疗。两组患者均获得1a的随访，对比两组患者术后1mo和术后1a的临床疗效。

结果：术后1mo，观察组痊愈的有124例，痊愈率为96.9%，对照组痊愈的有84例，痊愈率为93.3%。两组患者痊愈率的对比，差异无统计学意义(P>0.05)； 术后1a，观察组痊愈的有111例，痊愈率为86.7%，对照组痊愈的有58例，痊愈率为64.4%，观察组痊愈率显著高于对照组(P<0.05)。

结论：改良式老年性下睑内翻矫正术具有良好的临床疗效，显著优于缝线加缘间切开术，且手术操作较为简单，术后复发率较低，值得进一步推广应用。

AIM: To observe the clinical effect of modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture in the treatment of senile entropion, and to improve reference for clinical treatment planning.

METHODS:A retrospective analysis from August 2009 to August 2012, 218 cases of patients with lower eyelid entropion were treated in our hospital, according to the different operation methods for the observation group 128 cases and control group with 90 cases. The observation group was treated with modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture, control group with suture plus margin incision for treatment. Follow-up of two groups were 1a, the clinical curative effect at 1mo and 1a postoperatively was observed.

RESULTS: The observation group healed in 124 cases at 1mo after operation, the cure rate was 96.9%, the control group cured 84 cases, the cure rate was 93.3%. The differences of cure rate in two groups were not statistically significant(P>0.05); the observation group healed in 111 cases at 1a after operation, the cure rate was 86.7%, the control group cured 58 cases, the cure rate was 64.4%, the recovery rate of observation group was significantly higher than the control group(P<0.05).

CONCLUSION:The modified senile entropion operation has good curative effect, and the operation is simple, the recurrence rate is low, it is worth popularizing.