改良眼轮匝肌缩短术治疗先天性睑内翻24例

doi:10.6040/j.issn.1673-3770.0.2014.099

山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (6): 77-78.doi: 10.6040/j.issn.1673-3770.0.2014.099

改良眼轮匝肌缩短术治疗先天性睑内翻24例

郭丽¹, 袁方², 李斌¹, 李俊逸¹, 王翠青¹, 闫春慧¹

1. 武警山东省总队医院眼科, 山东济南 250014;
2. 武警山东省总队干休所, 山东济南 250012

收稿日期:2014-03-25 发布日期:2014-12-16
通讯作者: 袁方. E-mail:blue-121409@163.com E-mail:blue-121409@163.com
作者简介:郭丽. E-mail:guoli_2651@163.com

Modified blepharosphincterectomy for congenital entropion in 24 cases

GUO Li¹, YUAN Fang², LI Bin¹, LI Jun-yi¹, WANG Cui-qing¹, YAN Chun-hui¹

1. Department of Ophthalmology, Shandong PAP Corps Hospital, Jinan 250014, Shandong, China;
2. Veteran anatorium Of Shandong PAP Corps, Jinan 250012, Shandong, China

Received:2014-03-25 Published:2014-12-16

摘要/Abstract

摘要： 目的探讨改良眼轮匝肌缩短术治疗先天性睑内翻的临床疗效后.方法先天性睑内翻患者24例45眼,均采用改良眼轮匝肌缩短术,其中2例4眼曾行眼睑穹窿皮肤缝线术后复发.结果 24例45眼术后矫正满意35眼(78%),基本满意5眼(11%),轻度过矫3眼(6%),轻度欠矫2眼(4%).10例角膜点状混浊者l～2个月上皮完全恢复,7例明显流泪者症状完全消失.随访6～12个月,术后患者及家长均满意,患者不适症状完全消失的同时取得了较好的美容效果.结论改良眼轮匝肌缩短术是治疗先天性睑内翻的一种新的有效术式,术后不易复发,效果肯定.

关键词: 改良眼轮匝肌缩短术, 先天性睑内翻

Abstract: Objective To investigate the modified blepharosphincterectomy in the treatment of congenital entropion. Methods 24 patients (45 eyes) of congenital entropion were treated with modified blepharosphincterectomy,in which 2 cases (4 eyes) underwent previous fornix-based suture placement but recurred. Results Among 45 eyes of 24 patients, postoperative correction achieved satisfactory in 35 eyes (78%), mild satisfactory in 5 eyes (11%), mild overcorrection in 3 eyes (6%), and mild undercorrection in 2 eyes (4%) .10 cases of corneal epithelial punctate opacity recovered completely 1-2 months after the surgery and 7 cases of obvious tear symptoms disappeared completely. Patients were followed up for 6-12 months after the operation. The patients and their parents were all satisfied with the surgical results, and good cosmetic effect. Conclusion Modified blepharosphincterectomy is a new effective method to treat congenital entropion.

Key words: Modified blepharosphincterectomy, Congenital entropion

中图分类号:

R777.1

郭丽, 袁方, 李斌, 李俊逸, 王翠青, 闫春慧. 改良眼轮匝肌缩短术治疗先天性睑内翻24例[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 77-78.

GUO Li, YUAN Fang, LI Bin, LI Jun-yi, WANG Cui-qing, YAN Chun-hui. Modified blepharosphincterectomy for congenital entropion in 24 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 77-78.

参考文献

[1] 李冬梅.眼部整形美容手术图谱[M].北京: 人民卫生出版社,2008: 168.
[2] 范先群. 眼整形外科学[M].北京:科学技术出版社, 2009: 134.
[3] Ruban J M, Baggio E. Surgical treatment of congenital eyelid malpositions in children[J]. J Fr Ophtalmol, 2004, 27(3):304-326.
[4] Bujger Z, Ceroski B, Kovacevic S, et al. A contribution to the surgery of the trachomatous entropion and trichiasis[J]. Ophthalmologica, 2004, 218(3):214-218.
[5] Kormann R B, Moreira H. Treatment of trichiasis with high-frequency radio wave electrosurgery[J]. Arq Bras Oftalmol, 2007, 70(2):276-280.
[6] Eliasoph I.Current techniques of entropion and ectropion correction[J]. Otolaryngol Clin North Am, 2005, 38(5):903-919.
[7] 高晓梅,朱延渠. 老年性上睑皮肤松弛伴睑内翻矫正术[J]. 中国医学创新,2012,9(14):113-114. GAO Xiaomei,ZHU Yanqu. Senile sagging upper eyelid entropion diorthosis[J]. Med Inno Chin, 2012, 9(14):113-114.
[8] Pereira M G, Rodrigues M A, Rodrigues S A. Eyelid Entropion[J]. Semin Ophthalmol, 2010, 25(3):52-58.
[9] Scheepers M A, Singh R, James N, et al. A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion[J]. Ophthalmology, 2010, 117(2):352-355.
[10] Park M S, Chi M J, Baek S H. Clinical study of single-suture inferior retractor repair for involutional entropion[J]. Ophthalmologica, 2006, 220(5):327-331.
[11] Leibovitch I. Lateral wedge resection: a simple technique for repairing involutional lower eyelid entropion[J]. Dermatol Surg, 2010, 36(9):1412-1418.
[12] Roberts M A, Baddeley P, Sinclair N, et al. The lower lid diamond: a simple entropion repair to correct both horizontal and lower-lid retractor laxity[J]. Ophthal Plast Reconstr Surg, 2012, 28(1):44-46.

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改良眼轮匝肌缩短术治疗先天性睑内翻24例

Modified blepharosphincterectomy for congenital entropion in 24 cases

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