激光消融与电解治疗倒睫的对比研究

Contrastive study of laser ablation and electrolysis treatment in trichiasis

目的:探讨激光消融与电解治疗倒睫的疗效与安全性。方法:选取倒睫患者50例76眼,分为激光消融和电解治疗两组进行倒睫治疗,观察记录两组患者术后眼部刺激症状、并发症及复发情况,共观察6mo。结果:激光消融组一次治愈率81%,复发率19%,总治愈率94%;电解治疗组一次治愈率49%,复发率63%,总治愈率72%。激光消融组一次治愈率和总治疗率显著高于电解治疗组,其复发率低于电解治疗组,两组差异有统计学意义(P<0.05)。激光消融组患者无特殊不适,治疗部位无瘢痕产生及皮肤色素脱失;电解治疗组患者5眼出现轻度瘢痕。结论:激光消融治疗倒睫成功率高,患者术中无不适症状,术后并发症少,是一种有效安全的临床治疗方法。

AIM： To assess the effect and safety of laser ablation and electrolysis treatment in treating trichiasis. METHODS： Fifty cases （76 eyes） of trichiasis patients were divided into two groups and treated with laser ablation and electrolysis treatment. Post- operative stimulation signs, complications and recurrence were recorded in following 6 mo. RESULTS： The first-time success rate of laser ablation was 81%, recurrence rate 19% and total success rate 94%. The first-time success rate of electrolysis treatment was 49%, recurrence rate 63% and total success rate 72%. There were significant differences in the rate of first-time success, recurrence and total success between two groups （P 〈 0. 05 ）. There were fewer symptoms, complications and no scar in patients with laser ablation. After electrolysis treatment, scar occurred in 5 eyes. CONCLUSION： Laser ablation in treating trichiasis has the advantage of fewer symptoms, complications and high curative rate, and it is an effective and safe clinical promotion.