改良重瞼成形術在老年瞼皮松弛合并瞼內翻倒睫中的應用效果

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【摘 要】目的 觀察老年瞼皮松弛合并瞼內翻倒睫采用改良重瞼成形術的治療效果。方法 選取2021年1月-2022年1月我院收治的56例老年瞼皮松弛合并瞼內翻倒睫患者（112只眼）為研究對象，均行改良重瞼成形術治療，觀察術后療效、并發(fā)癥發(fā)生情況、復發(fā)率及手術前后眼部指標改善情況。結果 112只眼治療效果均為顯效，6例患者術后發(fā)生眼瞼閉合不全，對癥治療后均正?；蛘呔徑猓?、6個月隨訪均未見復發(fā)；術后瞼裂高度、瞼裂傾斜度、瞼裂角、內眥間距指標均優(yōu)于術前（P

【關鍵詞】老年瞼皮松弛；瞼內翻倒睫；改良重瞼成形術

中圖分類號：R622 文獻標識碼：A 文章編號：1004-4949（2022）20-0036-03

Application Effect of Modified Double Eyelid Plasty in Senile Eyelid Skin Relaxation Combined with Entropion Trichiasis

WANG Yuan-yuan1， SHANG Huan-xia2

（1.Department of Ophthalmology， Chengde Central Hospital， Chengde 067000， Hebei， China； 2.The First Department of Respiratory and Critical Care Medicine， Hebei Provincial Thoracic Hospital， Shijiazhuang 050000， Hebei， China）

【Abstract】Objective To observe the therapeutic effect of modified double eyelid plasty in elderly patients with eyelid skin relaxation and entropion trichiasis. Methods From January 2021 to January 2022， 56 elderly patients （112 eyes） with eyelid skin relaxation and entropion trichiasis admitted to our hospital were selected as the research objects. All patients were treated with modified double eyelid plasty. The postoperative efficacy， complications， recurrence rate and improvement of eye indexes before and after operation were observed. Results The therapeutic effect of 112 eyes was markedly effective， and 6 patients had incomplete eyelid closure after operation， which was normal or relieved after symptomatic treatment. No recurrence was found in 3 and 6 months follow-up. The postoperative palpebral fissure height， palpebral fissure inclination， palpebral fissure angle and inner canthal distance were better than those before operation （P

【Key words】Eyelid skin relaxation； Eyelid entropion trichiasis； Modified double eyelid plasty

瞼內翻是指一種眼瞼特別是瞼緣部朝眼部方向卷曲的眼病，當內翻達到一定程度時，睫毛隨之倒向眼球，刺激角膜，稱為倒睫[1-3]。（剩余3914字）