Clinical effect on layered suture for congenital lower eyelid trichiasis correction

Dong -Ping Li, Yu -Hong Wang, Hui -Fang Tu, Feng Jiao, Yu-Hong Wang, Wuhan Hospital, Aier
unpublished
誗 AIM: To observe the clinical efficay and patients蒺 satisfaction of layered suture and conventional suture contrastively in lower eyelid trichiasis correction operation. 誗 METHODS: Sixty-nine patients (138 eyes) with congenital lower eyelid trichiasis in our hospital from June 2014 to January 2015 were treated with skin-orbicularis resection. According to the different incision suture, 69 patients were divided into two groups, observation group(35 patients with 70 eyes) and control group (34
more » ... control group (34 patients with 68 eyes). Patients in observation group accepted layered suture, those in control group accepted conventional suture. The follow up lasted for 6mo for all patients. The efficacy and patients蒺 satisfaction for surgery were evaluated at 1wk, 1 and 6mo postoperatively. We compare the changes between the groups by 字 2 test and Fisher蒺s exact test. 誗RESULTS: At 1wk,1 and 6mo postoperatively, the cure rate of observation group was 98. 57% , the rate of patients蒺 satisfaction were 68. 12% , 97. 10% , 98. 55% respectively. The cure rate of control group was 98. 53% , the rate of patients蒺 satisfaction were 14. 93% , 56. 72% , 88郾 06%. Cure rates had no significant difference at 1wk, 1 and 6mo postoperatively between the two groups (P > 0郾 05). The rates of patients蒺 satisfaction had significant differences at 1wk, 1 and 6mo postoperatively (P< 0. 05). Patients蒺 satisfaction of the observation group was stable at 1wk postoperatively, that of the control group was improved obviously during the follow-ups. 誗 CONCLUSION: On the treatment for congenital lower eyelid trichiasis, layered suture not only cure trichiasis, but also significantly improve the patients蒺 satisfaction at early state after surgeries. 誗 KEYWORDS: lower eyelid; congenital trichiasis; layered suture Citation: Li DP, Wang YH, Tu HF, et al. Clinical effect on layered suture for congenital lower eyelid trichiasis correction. Guoji Yanke Zazhi(Int Eye Sci) 2016;16(1) :177-179 摘要 目的:对比观察先天性下睑倒睫分层缝合法与常规缝合法 的临床疗效和患者满意度。 方法:将 2014-06 / 2015-01 在我院就诊的 69 例 138 眼先 天性下睑倒睫患者均接受皮肤轮匝肌切除术,按切口缝合 法的不同分成两组(观察组 35 例 70 眼,对照组 34 例 68 眼) ,观察组分层缝合法,对照组行常规缝合法,两组患者 均随访 6mo,术后 1wk,1、6mo 对患者治疗效果及患者满意 度进行评价,采用 字 2 检验及 Fisher 确切概率法进行统计 学分析。 结果:术后 1wk,1、6mo 观察组治疗有效率均为 98. 57% , 外观满意度分别为 68. 12% 、97. 10% 、98. 55% ;对照组治 疗有 效 率 均 为 98. 53% , 外 观 满 意 度 分 别 为 14. 93% 、 56郾 72% 、88. 06% 。 两组治疗有效率术后 1wk,1、6mo 均无 统计学差异(P>0. 05) ,两组满意度在术后 1wk,1、6mo 均 有统计学差异(P<0. 05) 。 且观察组有效患者满意度在术 后 1mo 即达稳定,对照组有效患者满意度在术后随访中 均有明显提高。 结论:先天性下睑倒睫缝合法中,分层缝合术式在治愈倒 睫的同时,能明显提高患者的早期满意度。 关键词:下睑;先天性倒睫;分层缝合
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