Objective: To observe the clinical application of eyelid orbicularis muscle fold and eyelid skin orbicularisomy in the treatment of senile lower eyelid varus, and to compare the clinical efficacy of the two methods. Methods: A total of 80 patients with senile dementia who were treated in our hospital from January 2015 to December 2016 were selected as the research objects. The patients were divided into two groups according to the principle of double-blind randomness. The control group of 40 patients underwent eyelid skin turn Myomectomy, the observation group 40 cases of eyelid orbicularis muscle fold treatment, the two groups after treatment to collect the data, and to complete the comparison between groups. Results: 1)The total effective rate of the observation group was 95. 00％(38), of which 27 were markedly effective and 11 were effective. The total effective rate of the control group was 77. 50％(31), 14 markedly effective and 17 effective. The two groups The difference was statistically significant(P＜0. 05); 2)The incidence of postoperative complications in the observation group was 10. 00％(4), which included in flutter and eyelid separation and improper eyelid position. The incidence of the control group was 27. 50％(11), Including eyelid inversion, eyelid separation, improper eyelid position and ocular hemorrhage; the difference between the two groups was statistically significant(P＜0. 05); 3)The recurrence rate was 5. 00％in the observation group after 1 year of follow-Which was significantly lower than that of the control group(17. 50％, 7), the difference was statistically significant(P＜0. 05). Conclusion: Compared with the eyelid skin orbicularisomy in the clinical treatment of senile entropion, the eyelid orbicularis muscle fold operation can obtain higher therapeutic benefit, and at the same time help to reduce the clinical complications, recurrence rate, Reflects the higher safety, practicality, it is worth clinical application.%目的:观察眼睑轮匝肌折叠术和眼睑皮肤轮匝肌切除术在治疗老年性下睑内翻的临床应用,对比二者临床治疗效果.方法:抽取2015年1月至2016年12月笔者所在医院收治的80例老年性下睑内翻患者为研究对象,遵循双盲随机原则分两组,对照组 40例执行眼睑皮肤轮匝肌切除术治疗,观察组40例执行眼睑轮匝肌折叠术治疗,对两组治疗后各数据予以收集,并完成组间对比.结果:1)观察组治疗总有效率为95.00％(38例),其中显效者27例,有效者11例;对照组治疗总有效率为77.50％(31例),显效14例,有效17例;两组差异具有统计学意义(P＜0.05);2)观察组术后并发症发生率为10.00％(4例),其中包括睑内翻、睑球分离、眼睑位置不当;对照组发生率为27.50％(11例),包括睑内翻、睑球分离、眼睑位置不当、眼球出血;两组差异具有统计学意义(P＜0.05); 3)经术后1年时间随访,观察组复发率为5.00％(2例)明显低于对照组17.50％(7例),差异具有统计学意义(P＜0.05).结论:在老年性下睑内翻的临床治疗中,与眼睑皮肤轮匝肌切除术相比,眼睑轮匝肌折叠术可获得更高疗效收益,同时有助于降低临床并发症、复发率,体现了较高安全性、实用性.
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