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χ²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%、56.72%、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。

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 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' satisfaction for surgery were evaluated at 1wk, 1 and 6mo postoperatively. We compare the changes between the groups by χ² test and Fisher's exact test.

RESULTS:At 1wk,1 and 6mo postoperatively,the cure rate of observation group was 98.57%, the rate of patients' satisfaction were 68.12%,97.10%,98.55% respectively. The cure rate of control group was 98.53%, the rate of patients' satisfaction were 14.93%,56.72%,88.06%. Cure rates had no significant difference at 1wk, 1 and 6mo postoperatively between the two groups(P>0.05). The rates of patients' satisfaction had significant differences at 1wk, 1 and 6mo postoperatively(P<0.05). Patients' satisfaction of the observation group was stable at 1wk postoperatively, that of the control group was improved obviously during the follow-ups.

CONCLUSION:On the treatment for congenital lower eyelid trichiasis, layered suture not only cure trichiasis, but also significantly improve the patients' satisfaction at early state after surgeries.