[关键词]
[摘要]
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。
[Key word]
[Abstract]
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 6mo.
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.
[中图分类号]
[基金项目]
桂林市科技攻关项目(No.201000128-12)