改良眶隔法和传统睑板法切开重睑术的术后重睑形态、瘢痕发生率、角膜暴露率比较研究

目的 比较改良眶隔法和传统睑板法切开重睑术中的应用效果及对术后重睑形态、瘢痕发生率、角膜暴露率的影响。方法 选取2020年3月-2021年3月首都医疗爱育华医院收治的80例单睑患者,采用随机数字表法将其分对照组和观察组,各40例。对照组接受传统睑板法切开重睑术,观察组接受改良眶隔法切开重睑术,比较两组术后重睑形态、瘢痕发生率、角膜暴露率、并发症发生率。结果 观察组总有效率高于对照组,差异有统计学意义（P＜0.05）;观察组GAIS评分高于对照组,VAS评分低于对照组,差异有统计学意义（P＜0.05）;观察组右侧角膜暴露率增加值、左侧角膜暴露率增加值高于对照组,差异有统计学意义（P＜0.05）;观察组并发症发生率为5.00%,低于对照组的22.50%,差异有统计学意义（P＜0.05）。结论 相比于传统睑板法切开重睑术,改良眶隔法切开重睑术不会过度增加术后角膜暴露率,术后瘢痕发生率更低,重睑形态更理想,患者接受度更高。

Comparative Study on Postoperative Double Eyelid Morphology, Scar Incidence and Corneal Exposure Rate Between Modified Palpebral Marginal IncisionTechnique and Traditional Incision Technique for Double Eyelid Surgery

Objective To compare the application effect of modified palpebral marginal incision technique and traditional incision technique for double eyelid surgery and its influenceon postoperative double eyelid morphology, incidence of scar and corneal exposure rate. Methods A total of 80 patients with foldless eyelid admitted to the Beijing Aiyuhua Hospital from March 2020 to March 2021 were selected and randomly divided into control group and observation group, with 40 cases in each group. The control group received traditional incision technique for double eyelid surgery, and the observation group received modifie palpebral marginal incision technique for double eyelid surgery. The postoperative double eyelid morphology, incidence of scar, corneal exposure rate and incidence of complications were compared between the two groups. Results The total efective rate of the observation group was higher than that of the control group, and the differencewas statistically significant(P<0.05). The GAIS score of the observation group was higher than that of the control group, and the VAS score was lower than that of the control group , and the differencewas statistically significant(P<0.05). The increase of right corneal exposure rate and left corneal exposure rate in the observation group were higher than those in the control group, and the differenceswere statistically significant(P<0.05). The incidence of complications in the observation group was 5.00%, which was lower than 22.50% in the control group, and the differenc was statistically significant(P<0.05). Conclusion Compared with the traditional incision technique for double eyelid surgery, the modified palpebral marginal incision technique for double eyelid surgery does not excessively increase the postoperative corneal exposure rate, and the incidence of postoperative scar is lower, the double eyelid morphology is more ideal, and the patient acceptance is higher.