囊肿刮除术联合病灶内聚维酮碘棉片烧灼治疗儿童睑板腺囊肿疗效分析

Therapeutic effect of cystectomy and curettage combined with povidone-iodine cotton tablets in the treatment of children with chalazion

目的探讨切开囊肿刮除术联合病灶内5%聚维酮碘棉片烧灼治疗儿童睑板腺囊肿的疗效.方法将78例(96眼)睑板腺囊肿患儿按随机数字表法分为两组,各39例(48眼).对照组采用切开囊肿刮除术联合囊壁剪除术治疗,观察组采用切开囊肿刮除术联合病灶内5%聚维酮碘棉片烧灼治疗,统计两组手术时间及血肿发生率,术后随访6个月统计临床疗效及复发率.结果观察组手术时间显著短于对照组(P<0.01),血肿发生率显著低于对照组(P<0.05).术后6个月,两组临床疗效比较差异无统计学意义(P>0.05),但观察组治愈率显著高于对照组(P<0.05),复发率显著低于对照组(P<0.05).结论切开囊肿刮除术联合病灶内5%聚维酮碘棉片烧灼治疗儿童睑板腺囊肿临床疗效确切,可缩短手术时间,提高治愈率,降低复发率.

Objective To investigate the effect of cystectomy and curettage combined with 5%povidone-iodine cotton tablets in the treatment of children with chalazion.Methods 78 cases(96 eyes)of chalazion were divided into two groups according to random number table,39 cases(48 eyes)in each group.The control group was treated with cystectomy combined with cystectomy.The observation group was treated with cystectomy and curettage combined with 5%povidone iodine cotton burning.The operation time and incidence of hematoma were counted.The clinical efficacy and recurrence rate were counted after 6 months follow-up.Results The operation time of the observation group was significantly shorter than that of the control group(P<0.01),and the incidence of hematoma was significantly lower than that of the control group(P<0.05).Six months after operation,there was no significant difference in clinical efficacy between the two groups(P>0.05),but the cure rate of the observation group was significantly higher than that of the control group(P<0.05),and the recurrence rate was significantly lower than that of the control group(P<0.05).Conclusions Cystectomy and curettage combined with cauterization with 5% povidone iodine cotton in the lesion are effective in treating children with chalazion,which can shorten the operation time,improve the cure rate and reduce the recurrence rate.