下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻

山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (6): 85-.

下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻

陈建华1,2，陈伟2

1. 山东中医药大学，济南 250355； 2. 山东中医药大学附属眼科医院，济南 250002

收稿日期:2011-03-23 修回日期:2011-05-23 出版日期:2011-12-16 发布日期:2011-12-16
作者简介:陈建华（1975- ），女，硕士，主治医师，主要从事眼科整形及眼眶病的基础与临床研究。

Lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision for senile entropion

CHEN Jian-hua1,2, CHEN Wei2

1. Shandong University of Traditional Chinese Medicine, Jinan 250355, China；
2. Hospital of Ophthalmology Affiliated to Shandong University of Traditional Chinese Medicine, Jinan 250002, China

Received:2011-03-23 Revised:2011-05-23 Online:2011-12-16 Published:2011-12-16

摘要/Abstract

摘要：

目的评价下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻的疗效。方法将老年性下睑内翻64例（84眼）分为两组：A组24例（30眼），采用单纯皮肤轮匝肌切除术矫正；B组40例（54眼），采用下睑缩肌腱膜修复联合皮肤轮匝肌切除术矫正。比较两种手术方法的近、远期疗效。结果术后7d拆线时所有病例内翻矫正良好。随访1～2年，A组6例复发，B组1例复发。结论下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻疗效确切，复发率低。

关键词: 老年性下睑内翻；下睑缩肌；皮肤轮匝肌

Abstract:

Objective To evaluate the effect of lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision for senile entropion. Methods 64 patients (84 eyes) with senile entropion were divided into two groups. 24 patients (30 eyes) in group A were treated with simple excision of skin and orbicularis muscle, and 40 patients(54 eyes) in group B were treated with lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision. The effect of the two surgical techniques was compared during a 1-2 years follow-up period. Results All cases were well corrected after stitches were removed 7 days later. Recurrence happened in six cases of group A and one case of group B. Conclusion Lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision is a good safe method with low recurrent rate in treatment of senile entropion.

Key words: Senile entropion； Lower eyelid retractor muscle； Orbicularis muscle

中图分类号:

R777.1

陈建华1,2，陈伟2. 下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻[J]. 山东大学耳鼻喉眼学报, 2011, 25(6): 85-.

CHEN Jian-hua1,2, CHEN Wei2. Lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision for senile entropion[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(6): 85-.

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