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两种手术方法治疗小儿下睑倒睫的疗效比较

肖艳霞 鄢俊杰 徐东强

国际眼科杂志Issue(6):1171-1173,3.
国际眼科杂志Issue(6):1171-1173,3.DOI:10.3980/j.issn.1672-5123.2014.06.56

两种手术方法治疗小儿下睑倒睫的疗效比较

Comparison of two surgical treatments for pediatric lower eyelid trichiasis

肖艳霞 1鄢俊杰 1徐东强1

作者信息

  • 1. 430070 中国湖北省武汉市,广州军区武汉总医院眼科
  • 折叠

摘要

Abstract

AIM: To compare the clinical results of suture method and partial eyelash resection treating for pediatric eyelid trichiasis, and screen an effective method for the treatment of pediatric lower eyelid trichiasis. <br> METHODS: Fifty-six cases of pediatric patients with lower eyelid trichiasis were randomly divided into a control group and an observation group in accordance with the method of drawing lots, and each group was 28 cases. The control group was treated with suture method, and the observation group was treated with partial eyelash resection. The clinical efficacy, patient satisfaction before and after treatment, and the incidence of complications were compared. <br> RESULTS:(1) The clinically total effective rate was 74%of the control group, which was 89% of the observation group, and there were statistical differences of the clinical efficacy between the two groups ( P<0. 05 ); ( 2 ) the satisfaction scores were (3. 89±1. 22) points and (6. 27±1-86) points of the the control group before and after treatment, which were ( 4. 00±1. 34 ) points and ( 8-95±2-34) points of the observation group, and there were statistical differences of the two groups before and after treatment (P<0. 05), and the scores of the observation group were higher than that of the control group ( P<0-05);(3) complications such as swelling and stitches off appeared in both groups, and the rate was 21% in the control group, which was 11% in the observation group, and there were statistical differences between the two groups (P<0. 05). <br> CONCLUSION: The treatment of children with lower&nbsp;eyelid trichiasis, suture method is simple and can be performed under local anesthesia in collaboration with children, but with a higher relapse rate, some patients required reoperation;partial resection of eyelashes can be more thoroughly solve the problem of pediatric eyelid trichiasis with low recurrence rate, but children need to be under general anesthesia with some of big risk. So partial resection of eyelashes is unsuitable for using in clinical practice widely and can be used in special cases.

关键词

缝线法/部分睫毛切除/小儿下睑倒睫/临床疗效

Key words

suture/partial eyelash resection/pediatric lower eyelid trichiasis/clinical efficacy

引用本文复制引用

肖艳霞,鄢俊杰,徐东强..两种手术方法治疗小儿下睑倒睫的疗效比较[J].国际眼科杂志,2014,(6):1171-1173,3.

国际眼科杂志

OACSTPCD

1672-5123

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