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老年性睑内翻主要为下睑,以手术矫正为主,药物治疗无效。常用的手术方式有眼轮匝肌条带缩短术、三角形切除术、皮肤肌肉切除术等。我们在治疗老年性睑内翻中,使用下睑缩肌折叠矫正法,效果满意。1 临床资料1.1 一般资料:60例中男性25例,女性35例,年龄均在50岁以上。均属下睑内翻倒睫。双眼睑内翻倒睫39例,单眼睑内翻倒睫21例。1.2 手术方法:①手术器械:手术刀、止血钳、眼科小弯剪、持针器、缝合针和线。②消毒及麻醉:常规消毒,铺手术巾,下睑皮下浸润麻醉。③切开:距下睑缘5mm与睑缘平行地切开下中外三分之二的下睑皮肤。④分离组织:剥离暴露睑板下缘,睑板下缘即为下睑缩肌。⑤缝合:用5-0号丝线的三
Elderly ectropion mainly lower eyelid, mainly to surgical correction, drug treatment is invalid. There are commonly used surgical methods such as orbicularis oculi muscle shortening, triangular resection, skin muscle resection and so on. We are in the treatment of senile ectropion, the use of lower fold contraction fold correction method, the effect is satisfactory. 1 Clinical data 1.1 General information: 60 cases of 25 males and 35 females, aged over 50 years of age. Are under the eye twitch inverted eyelashes. 39 cases of double eyelid inverted trichiasis, 21 cases of single eyelid inverted trichiasis. 1.2 surgical methods: ① surgical instruments: scalpel, hemostatic forceps, small eye scissors, needle holder, suture needle and thread. ② disinfection and anesthesia: conventional disinfection, shop towels, subcutaneous infiltration anesthesia. ③ incision: 5mm from the lower eyelid and eyelid margin parallel cut under the two-thirds of the lower eyelid skin. ④ separation of tissue: stripping expose the lower edge of the tarsus, the lower edge of the tarsal lower eyelid constrictor. ⑤ stitching: 5-0 thread with three