儿童下睑赘皮性倒睫的手术矫正

摘要

Objective To describe a simple and effective surgical technique for the treatment of children with low -er-lid epiblepharon and trichiasis .Methods Surgical correction for epiblepharon and trichiasis was performed in 46 pa-tients (92 eyes).The range of age was 3 to 12 years (median age 5.4 years).Follow up was 6~24 months.During sur-gery, several 8–0 Prolene sutures were placed to allow adhesion between the tarsal plate and the subcutaneous tissue of the upper skin flap .The redundant skin and underlying orbicularis muscle were removed .Results Of all the 92 eyes that were treated, epiblepharon and trichiasis were cured in 82 eyes and improved in 10 eyes.The overall effective rate was 100%.Irritating symptoms were eliminated after the surgery .Direction of lashes became normal .There was no lid retrac-tion or ectropion .Recurrence happened in 5 cases ( 5 eyes ) .These patients received a second operation and recovered completely .Conclusion Our surgical approach in the treatment of children with lower lid epiblepharon and trichiasis yield remarkable effective rate and obviously reduces complications and the recurrence rate .%目的：介绍一种简单有效治疗儿童下睑赘皮性倒睫的手术方法。方法应用皮肤轮匝肌切除联合睫毛外翻缝线术治疗儿童下睑赘皮性倒睫46例92只眼，年龄3～12岁，平均5．4岁。术后随访观察6～24个月。结果治愈82只眼，治愈率89．1％；好转10只眼，好转率10．9％。随访期间无加重。5只眼复发，再次手术后均治愈。总有效率100％。结论皮肤轮匝肌切除联合睫毛外翻缝线术治疗儿童下睑赘皮性倒睫疗效确切，复发率低，无严重并发症。