中青年下睑内翻患者的手术方法探讨

Discussion on surgical treatment for young patients with congenital lower eyelid entropion

摘要:

目的：探讨中青年先天性下睑内翻患者的手术方法及效果。

方法：对27例45眼中青年先天性下睑内翻患者行改良眼轮匝肌缩短术，对手术效果及并发症发生情况进行评价。

结果：随访6mo，42眼治愈，3眼未愈，治愈率93%，5眼术后下睑有轻度皮肤皱褶，无下睑退缩，无睑外翻。

结论：采用改良眼轮匝肌缩短术治疗中青年先天性下睑内翻患者，疗效确切，并发症少，且外形美观，是一种理想的美容手术方法。

Abstract:

AIM: To explore the surgical methods and clinical effects on young patients with congenital lower eyelid entropion.

METHODS: There were 27 patients(45 cases)who suffered congenital lower eyelid entropion accepted the modified blepharosphincterectomy. The clinical effects and complications were evaluated.

RESULTS: After followed up for 6mo, 42 eyes were fully recovered, 3 eyes were unsuccessful and the cure rate was 93%, 5 eyes suffered minor lower eyelid skin folds, none had lower eyelid retraction and ectropion.

CONCLUSION: Modified blepharosphincterectomy is an ideal cosmetic surgical treatment for young patients with congenital lower eyelid entropion. It is an effective surgical treatment with fewer complications.