单纯眼轮匝肌切除术治疗儿童先天性下睑内翻的效果观察

摘要

Objective :To explore the clinical effect for orbicularis oculi muscle resection in the treatment of children with congenital entropion .Methods :The clinical data of children with congenital entropion in our hospital under the 44 cases (66 eyes) was retrospective analyzed .According to the surgical treatment methods ,they were divided into the treatment group and the control group each 33 eyes (23 cases of treatment group and 21 cases in the control group) . The treatment group was taken with pure orbicularis oculi muscle resection treatment ,and the control group was taken with deep fixed orthodontic treatment .The clinical efficacies of the two groups were compared .They were followed up for 6 months ,the recurrence and complications ,and satisfaction of the two groups was taken for statistics .Results:The total effective rate in the treatment group was 100 .00% ,and the total effective rate in the control group was 90 .91% . The clinical effects of the two groups of patients were with significant differences ,P< 0 .05 .Children were followed up for 6 months ,the treatment group had no recurrence ,1 case was of double eyelid ,1 case was with pain ,1 case was of re-currence in the control group ,3 cases were of double eyelid ,4 cases were with involving pain ,were significantly higher than the control group .The treatment group cases and parents’satisfaction (96 .97% ) ,was significantly higher than the control group patients and parents’satisfaction rate of 87 .88% ,P<0 .05 .Conclusion:The application for orbicularis oculi muscle resection in the treatment of children with congenital entropion obviously decreases the recurrence rate and complication incidence ,and the clinical effect is remarkable .%目的：探讨单纯眼轮匝肌切除术治疗儿童先天性下睑内翻的临床效果。方法：回顾性分析我院收治的44例（66眼）先天性下睑内翻儿童患者的临床资料，根据手术治疗方法分为治疗组和对照组各33眼（治疗组21例，对照组23例），其中治疗组患儿行单纯眼轮匝肌切除术进行治疗，对照组患儿行深部固定矫正术治疗，比较两组患儿术后的临床疗效，随访6个月，统计两组患者的复发、并发症以及满意率情况。结果：治疗组的总有效率为100．00％，对照组的总有效率为90．91％，两组患者临床效果具有显著性差异，P＜0．05；随访6个月，治疗组患儿均无复发，1例双重睑，1例牵扯痛，对照组患儿1例复发，3例双重睑，4例牵扯痛，均显著高于治疗组，治疗组患者及家长满意率96．97％，显著高于对照组患者及家长满意率87．88％，P＜0．05。结论：采用单纯眼轮匝肌治疗儿童先天性下睑内翻明显降低了复发率和并发症发生率，临床效果显著。