外眦成形术在矫正下睑错位和下睑退缩的效果观察.docVIP

外眦成形术在矫正下睑错位和下睑退缩的效果观察 　　[摘要]目的：分析外眦成形术在矫正下睑错位和下睑退缩的效果。方法：选择在本院接受手术治疗的下睑错位和下睑退缩患者作为研究对象，分别给予常规手术治疗及外眦成形术治疗，比较两组患者的治疗后的下睑缘下移程度、负面情绪评分等差异。结果：观察组下移距离（0.98±0.21）mm、VAS评分（2.54±0.47）、HAMD评分（15.21±2.24）、HAMA评分(13.12±1.24)明显低于对照组(P0.05)；轻度下移（84.78%）、躯体功能（87.21±13.32）、心理功能（79.42±10.47）、社会功能（81.46±11.21）、总体生活质量（95.24±14.57）均明显高于对照组（P0.05）。结论：外眦成形术可以有效减轻下睑错位和下睑退缩的病情，达到良好的校正效果，提高了生活质量。 　　[关键词]下睑退缩；下睑错位；外眦成形术 　　[中图分类号]R622[文献标识码]A[文章编号]1008-6455（2014）06-0444-03 　　 　　Effect observation of outer canthoplasty in correction lower eyelid malposition and lower eyelid retraction 　　BAI Hua-bao,GAO Yu-jie,WANG Ming,OUYANG Liping 　　(Suzhou AIST Plastic Surgery Hospital,Suzhou 215000,Jiangsu,China) 　　 　　Abstract:ObjectiveTo analysis effect ofouter canthoplasty in correction lower eyelid malposition and lower eyelid retraction.Methods92 cases with lower eyelid malposition and lower eyelid retraction patients were given regular surgical treatment and outer canthoplasty treatment, after treatment under the eyelid margin down degree and negative mood score were compared.ResultsObservation group down distance(0.98±0.98) mm,VAS (2.54 ±0.47),HAMD(15.21±2.24),HAMA(13.12±1.24) were significantly lower than control group(P0.05),Slightly down(84.78%), physical function (87.21?13.32), psychological function(79.42±10.47),social function (81.46±11.21),the overall quality of life (95.24±14.57) were significantly higher than control group (P0.05).ConclusionOuter canthoplastycan effectively reducelower eyelid malposition and lower eyelid retraction symptoms,achieve good correction effect, improve the quality of life. 　　Key words:lower eyelid retraction;lower eyelid malposition;outer canthoplasty 　　下睑错位和下睑退缩是临床眼科多见疾病，与神经因素、肌肉因素、机械因素等相关，将导致患者出现眼裂闭合不全、畏光、流泪等症状，严重降低其生活质量，应采取积极的治疗手段[1]。手术是治疗下睑错位和下睑退缩的主要方法，目前临床较受欢迎的为外眦成形术，其对于不同严重程度的患者均适用，且疗效能显著避免二次手术给患者带来的身心创伤[2]。本次研究主要分析外眦成形术（outer canthoplasty）在矫正下睑错位和下睑退缩的效果，具体报道如下。 　　 　　1资料和方法 　　1.1 一般资料：取本院于2012年6月至2013年6月间住院收治的下睑错位和下睑退缩患者92例为研究对象。根据接受的治疗方