眼轮匝肌缩短改良术治疗老年性下眼睑内翻的疗效观察

目的：分析比较眼轮匝肌缩短改良术和眼睑皮肤轮匝肌切除术治疗老年性下睑内翻的临床效果。

方法：对2006-01-01 /2012-12-31收治的老年性下睑内翻患者，按手术方法不同分为两组：A组采用眼轮匝肌缩短改良术，20例38眼； B组采用眼睑皮肤轮匝肌切除术，21 例36眼。术后坚持随访，观察术后效果。

结果：术后随访 1～2a，A组20例38眼均治愈，未见复发； B组治愈16例29眼，治愈率81%，未愈5例7眼，未愈率19%，复发7 眼，复发率 19%，两组手术后治愈率、未愈率、复发率的差异均具有统计学意义(P<0.05)。

结论：对于老年性下睑内翻患者行眼轮匝肌缩短改良矫治手术，治疗效果良好稳定。

Clinical observation of orbicularis muscle shortening improved treatment for senile entropion

AIM:To analyze the clinical results of orbicularis muscle shortening surgery and eyelid skin orbicularis muscle resection for senile entropion.

METHODS: From January 01, 2006 to December 31, 2012, senile patients with lower eyelid were divided into two groups according to different surgical methods. Group A with the orbicularis muscle shortening improved operation in 20 cases(38 eyes), group B used the eyelid skin orbicularis muscle resection in 21 cases(36 eyes). The effects of surgery were followed-up postoperatively.

RESULTS: Patients were followed up for 1-2a, 20 patients(38 eyes)in group A were cured without recurrence; 7 eyes recurred in group B, the recurrence rate was 19%, the recurrence rate after surgery both groups were statistically significant(P<0.05).

CONCLUSION: The effect of orbicularis muscle shortening improved operation for senile entropion is good and stable.