带蒂皮瓣睫毛转位术矫正复杂瘢痕性睑内翻的疗效

Clinical effecet observation on transposition of pedicled flap eyelashes for the treatment of complex cicatricial entropion

目的:探讨带蒂皮瓣睫毛转位术治疗复杂瘢痕性睑内翻的临床效果。方法:对严重瘢痕性睑内翻伴大量乱睫、双行睫,及以往行过一次或多次倒睫矫正术复发患者68例115眼行带蒂皮瓣睫毛转位术治疗,随访6～32(平均23.3)mo,观察术后睑缘形态及睫毛情况。结果:术后6mo内2眼、6mo后3眼有少许乱睫(<6根)发生,再次行电解治愈;余患眼上睑睑缘形态良好,睫毛背离眼球表面,无倒睫复发,无并发症发生;6mo治愈率91.7%(55/60,8例术后6mo后失访)。结论:带蒂皮瓣睫毛转位术对复杂瘢痕性睑内翻有较好疗效,复发率低。

AIM： To discuss the transposition of pedicled flap eyelashes for the treatment of complex cicatricial entropion. METHODS= For severe cicatricial entropion in 68 patients （115 eye） with plenty of metaplastic or misdirected eyelashes, distichiasis, or previously had one or more times correction of trichiasis with recurrent later, transposition of pedicled flap eyelashes was taken; Follow- up was 6-32 months, an average of 23.3 months; The postoperative eyelid margin morphology and eyelashes were observed. RESULTS.. After treatment, two eyes within half a year, and three eyes half a year later had a few metaplastic or misdirected eyelashes （〈6 root）, which were cured by Electrolysis again. Others had good forms of upper eyelid palpebral margin, eyelashes were away from the eye＇s surface, without recurrence of trichiasis, and without complications; The cure rate reached up to 91.7% （55/60, 8 cases loss to follow-up after half a year）. CONCLUSION： Transposition of pedicled flap eyelashes on complex cicatricial entropion has better curative effect, and lower rates of recurrence.