论文部分内容阅读
目的 比较两种不同术式治疗老年性下睑内翻的临床疗效.方法 46例(57眼)老年性下睑内翻随机分为两组.A组22例(28眼)行眼轮匝肌缩短联合睑板切除术;B组24例(29眼)行改良式皮肤眼轮匝肌切除术.结果 随访18个月,术后1周及6个月时,A、B两组均获良好疗效,术后12个月及18个月时,甲组效果优于B组,两组结果差异有统计学意义(P＜0.05).结论 眼轮匝肌缩短联合睑板切除术较改良式皮肤眼轮匝肌切除术治疗老年性睑内翻远期效果好.“,”Objective To evaluate clinical effect of two different methods for the treatment of senile lower eyelid entropion. Methods Fifty-seven eyes of 46 cases with senile lower eyelid entropion were randomly divided into two groups. Twenty-eight eyes of 22 cases in group A were treated by blepharosphincterec-tomy combined with tarsal resection ;29 eyes of 24 cases in group B were treated by modified skin and orbicularis muscle resection. Results All cases were corrected satisfactorily after operation. Following up for 18 months,there were no significant differences between group A and group B at postoperative 1 week and 6 months. But there was a significant difference between group A and group B at postoperative 12 months and 18 months(P ＜ 0.05). Conclusion Long-term clinical effect of blepharosphincterectomy combining tarsal resection is better than modified skin and orbicularis muscle resection for senile entropion.