下睑缩肌复位联合外侧睑板条固定术治疗退行性下睑内翻
International Eye Science(2020)
Abstract
目的:探讨并比较下睑缩肌复位联合外侧睑板条固定术及单纯下睑缩肌复位术治疗退行性下睑内翻的有效性和安全性.方法:本研究为前瞻性研究.选取2015-01/2018-02在我科接受手术治疗的退行性下睑内翻患者79例91眼,随机分为观察组(41例46眼,行下睑缩肌复位联合外侧睑板条固定术)和对照组(38例45眼,行单纯下睑缩肌复位术),对两组临床疗效、术后并发症发生率进行比较.结果:术后3mo随访,两组患者治愈率无差异(100%vs 98%,P=0.495).术后24mo随访,观察组治愈率高于对照组(98%vs 84%,P=0.030).观察组无术后并发症发生,明显少于对照组(11%,P=0.026).结论:下睑缩肌复位联合外侧睑板条固定术治疗退行性下睑内翻较单纯下睑缩肌复位术远期治疗效果佳,并发症少.
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Key words
degenerative entropion,lower eyelid muscle reduction,treatment
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