改良退行性睑内翻矫正术同期行下睑袋整形术临床应用分析

摘要

Objective To explore an effective treatment of Involutional Entropion and pouch correction.Methods We removed the orbital adipose through the parallel incision 2mm under the eyelashes, tightened the orbicularis oculi muscle, and then corrected the involutional entropion by removing some skin and blepharoplasty. Results In 180 cases (269 eye cases), there were 2 cases with recidivation, which were being cured after the following operations. The others were shaping well without entropion and trichiasis.Conclusion Good results can be obtained by combined surgery. Combined surgery aims at correcting the involutional entropion through and blepharoplasty by removing the orbital adipose, tightening the orbicularis oculi muscle, and meanwhile removing some skin.%目的：探讨一种治疗退行性睑内翻，同时行下睑袋整形术的有效方法。方法：采用下睑缘睫毛下2mm平行睑缘切口，去除眶脂肪，提紧眼轮匝肌，去除部分皮肤以矫正退行性下睑内翻及并矫治下睑袋。结果：本组180例（269眼）患者，除2例复发并经2次手术后治愈外，其余均下睑形态良好，无下睑内翻、倒睫等并发症。结论：采用去除眶脂肪的同时行眼轮匝肌提紧并去除部分皮肤的联合手术方法，矫正退行性下睑内翻及下睑袋效果良好。