睑板腺囊肿刮除术联合睑板腺挤压预防儿童睑板腺囊肿再发疗效观察

Chalazion curettage combined with the Meibomian glands squeezing to prevent recurrence of chalazion in children

目的探讨睑板腺囊肿刮除联合睑板腺挤压预防儿童睑板腺囊肿再发的疗效。方法选取2014年1月至2017年12月我科收治的178例儿童睑板腺囊肿患者,将其随机分为单纯睑板腺囊肿刮除术组83例和睑板腺囊肿刮除术联合睑板腺挤压组95例。术后随访6个月至2年,手术部位仍有肿块未消退或消退后于原部位再次出现,或者眼睑其它位置出现新发的睑板腺囊肿均计为睑板腺囊肿再发。比较两组患儿睑板腺囊肿再发情况。结果睑板腺囊肿刮除联合睑板腺挤压治疗组患儿再发率明显低于睑板腺囊肿刮除术组,差异有统计学意义(P<0.05)。结论对于儿童睑板腺囊肿,睑板腺囊肿刮除联合睑板腺挤压治疗可明显降低睑板腺囊肿再发率,值得临床推广。

Objective To explore the effect of chalazion curettage combined with the Meibomian glands squeezing to prevent recurrence of chalazion in children. Methods Totally 178 cases of chalazion in children treated in our department from January 2015 to December 2017 were randomly divided into 83 cases of chalazion curettage group and 95 cases of chalazion curettage combined with the Meibomian glands squeezing group. The recurrent chalazion in this study includes the following conditions： original cyst didn＇t eliminate completely or the cyst reappeared in the original site,or cysts appeared in other sites of the tarsus during the follow-up time. The recurrence rate of chalazion was compared between the two groups. Results The recurrence rate of the chalazion curettage combined with the Meibomian glands squeezing group was significantly lower than that of the chalazion curettage group and the difference was statistically significant（ P 0. 05）. Conclusion For children with chalazion,chalazion curettage combined with the Meibomian glands squeezing can significantly reduce the recurrence rate of chalazion. It is worthy of clinical promotion.