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

• 论著 • 上一篇    下一篇

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. 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. 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: 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
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