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比较老年性下睑内翻矫正术不同术式的疗效

Comparison of the Effects of Different Surgical Procedures for Senile Sacral Varus Correction
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摘要 目的探讨老年性下睑内翻矫正术不同术式的临床疗效。方法从2016年5月—2017年3月期间该院收治的老年性下睑内翻患者中选择96例(110眼)作为研究对象,其中48例(57眼)对照组患者采用单纯眼轮匝肌缩短术治疗、48例(53眼)观察组患者采用改良眼轮匝肌缩短术治疗,评估患者的短期疗效和长期疗效。结果①短期疗效:观察组治愈47眼、一般5例眼、差1例眼,总疗效98.11%;对照组57眼,其中44眼治愈、11眼一般、2眼差,总有效率96.49%,差异有统计学意义(χ^2=0.272,P=0.602>0.05)。②远期疗效:观察组治愈52眼,治愈率98.11%;复发1眼,复发率1.89%;对照组中,治愈47眼(82.46%)、复发10眼(17.54%)(χ^2=7.481,P<0.05)。结论在老年性下睑内翻的临床治疗中,采用改良眼轮匝肌缩短术治疗,具有理想的近期和远期疗效,复发率低,治愈率高,可作为一线术式予以推广。 Objective To explore the clinical effect of different operative methods for correction of senile entropion.Methods From May 2016 to March 2017,96 cases (110 eyes) of senile entropion of the lower eyelid were selected as the study subjects.48 cases (57 eyes) in the control group were treated with simple orbicularis shortening operation,and 48 cases (53 eyes) in the observation group were treated with modified orbicularis shortening operation.Short term efficacy and long-term efficacy.Results 1.Short-term effect: 47 eyes were cured,5 eyes were normal,1 eye was poor,the total effect was 98.11%;57 eyes in the control group,44 eyes were cured,11 eyes were normal,2 eyes were poor,the total effective rate was 96.49%,the different was statistically significant(χ^2=0.272,P=0.602> 0.05).2.Long-term effect: observation group cured 52 eyes,cure rate 98.11%;recurrence 1 eye,recurrence rate 1.89%;control group,cured 47 eyes (82.46%) and recurrence 10 eyes (17.54%),the different was statistically significant(χ^2=7.481,P<0.05).Conclusion Modified orbicularis oculi muscle shortening has ideal short-term and long-term effects in the clinical treatment of senile entropion with low recurrence rate and high cure rate.It can be popularized as a first-line operation.
作者 杨丽丽 曹婷 YANG Li-li;CAO Ting(Department of Ophthalmology,Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou Province, 550000 China;Department of Cadre Health,Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou Province,550000 China)
出处 《系统医学》 2019年第8期20-21,24共3页
关键词 老年性下睑内翻 矫正术 术式 疗效 Senile entropion of lower eyelid Correction operation Operative method Curative effect
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