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目的评价下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻的疗效。方法将老年性下睑内翻64例(84眼)分为两组:A组24例(30眼),采用单纯皮肤轮匝肌切除术矫正;B组40例(54眼),采用下睑缩肌腱膜修复联合皮肤轮匝肌切除术矫正。比较两种手术方法的近、远期疗效。结果术后7 d拆线时所有病例内翻矫正良好。随访1～2年,A组6例复发,B组1例复发。结论下睑缩肌腱膜修复联合皮肤轮匝肌切除术治疗老年性下睑内翻疗效确切,复发率低。
Objective To evaluate the efficacy of lower eyelid fascia repair combined with orbicularis muscle incision in the treatment of senile lower entropion. Methods A total of 64 cases (84 eyes) of senile entropion were divided into two groups: 24 cases (30 eyes) in group A were treated by simple cutaneous orbicularis muscle resection; 40 cases (54 eyes) in group B were treated with lower eyelid Repair of fasciocutaneous fascia together with cutaneous orbicularis muscle resection. Compare the short-term and long-term effects of the two surgical methods. Results All cases were successfully corrected for varus at 7 days after suture removal. Followed up for 1 to 2 years, 6 cases in group A recurred and 1 case in group B recurred. Conclusions Lower fascia repair of aponeurosis combined with orbicularis muscle incision for the treatment of senile lower eyelid curative effect of the exact, low recurrence rate.