两种术式治疗内眦赘皮结合小切口重睑术的效果比较.docVIP

精品论文 参考文献 两种术式治疗内眦赘皮结合小切口重睑术的效果比较 岳阳市三人民医院 湖南岳阳 414000 【摘 要】目的：比较传统“Y-V成形术”和改良型“Y-V成形术”结合重睑术治疗内眦赘皮的临床疗效。方法：选择2011年6月～2015年6月期间，我院收治的内眦赘皮病人80例为研究对象，根据手术方式的不同分为研究组和对照组。对照组行“Y-V成形术”结合重睑术治疗；研究组行改良型“Y-V成形术”结合重睑术治疗。在随访6个月后，将两组病人的治疗效果进行比较。结果：研究组病人的总有效率为92.5%；对照组病人治疗的总有效率为67.5%。研究组优于对照组，组间差异有统计学意义（P＜0.05）。结论：在针对内眦赘皮的治疗上，改良型“Y-V成形术”具有切口设计简单，手术瘢痕较为隐蔽，切口形态较好的特点，有一定的临床参考价值。 【关键词】内眦赘皮；Y-V成形术；改良；疗效 Effect comparison of two surgical treatment combined small incision double eyelid surgery on epicanthus Shen Linxiong Yueyang city the third peoples hospital，Hunan Yueyang 414000 [Abstract] Objective：To compare the clinical effects of traditional “Y-V plasty” and improved “Y-V plasty” combined with double eyelid surgery on epicanthus. Methods：The research object were 80 cases of epicanthus patients admitted to our hospital from June 2011 - June 2015，and these patients were divided to research group and the control group according to different surgical methods. The control group was treated “Y-V plasty” combined double eyelid surgery；while the research group underwent improved “Y-V plasty” combined double eyelid surgery. After the follow-up six months，the patient outcomes of two groups were compared. Results：The total effective rate was 92.5% in research group；and the total effective rate was 67.5% in control group. The research group was better than the control group，difference between the two groups was statistically significant（P lt;0.05）. Conclusions：In the treatment of epicanthus，improved “Y-V plasty” was featured by simple design of incision，subtle surgical scar，and better shape of incision，which has some clinical reference value. [Key words]：epicanthus；Y-V plasty；Improvement；Efficacy 内眦赘皮在东方人群中的发生率高达50%，指的是在靠??内眦处的一垂直向内的皮肤皮蹼或褶皱，部分可对泪埠造成掩盖，影响审美。在内眦赘皮的手术治疗上，传统的“Y-V成形术”缺点较多，包括术式复杂、术后形成的瘢痕较为明显等[1]。近年来我院采用改良型“Y-V成形术”结合重睑术治疗内眦赘皮，效果较好，同时与传统的“Y-V成形术”进行了比较，予以报道。 1 资料和方法 v1.1 一般资料 两组研究对象均来源于在2011年6月～2015年6月期间，于我院住院的内眦赘皮病人，共80例，根据术式的不同分为研究组和对照组，每组分