目的：观察松弛皮肤切除联合眼轮匝肌缩短术与单纯眼轮匝肌缩短术治疗老年性下睑内翻的临床疗效，为临床治疗提供参考。

方法：研究我科就诊的临床诊断为下睑内翻的老年患者82例126眼，采用随机数字表法将其随机分为松弛皮肤切除加眼轮匝肌缩短术治疗组与单纯眼轮匝肌缩短术治疗组，对两组患者一般资料进行比较，并对其短期疗效与长期疗效进行比较。

结果：观察组与对照组患者在年龄、病程、性别及首次手术患者的比例方面的差异无统计学意义(P>0.05)，观察组的短期有效率为95.2%，而对照组的短期有效率为77.8%，两组短期有效率之间的差异有统计学意义(χ²=4.100，P=0.043)； 观察组的长期治愈率为82.5%(34例52眼)，未愈或复发率为17.5%(7例11眼)，对照组的治愈率为60.3%(25例38眼)，未愈或复发率为39.7%(16例25眼)，两组患者的长期治愈率之间的差异具有统计学意义(P<0.05)。

结论：松弛皮肤切除联合眼轮匝肌缩短术治疗老年性下睑内翻的临床疗效较单纯眼轮匝肌缩短术好，推荐在临床上应用。

AIM: To observe the clinical effect of slack skin excision combined with orbicularis oculi muscle shortening and orbicularis muscle shortening in the treatment of elderly patients with lower eyelid entropion, and provide the reference for the clinical treatment.

METHODS: Eighty-two(126 eyes)clinical diagnosis's elderly patients with lower eyelid entropion were collected from our department, then randomly divided into excised relaxing skin and orbicularis oculi muscle shortening treatment group and the orbicularis muscle shortening treatment group.The general data of the two groups, long term curative effect and short-term curative effect were compared.

RESULTS: The age, sex, proportion of patients with the first time operation, course of disease were no statistical significance between the observation group and the control group(P>0.05). The short-term effective rate of the observation group was 95.2%, while the short-term effective rate of the control group was 77.8%, the short-term efficiency differences between the two groups was statistical significance(χ²=4.100, P=0.043). The long-term cure rate of the observation group was 82.5%(34 cases, 52 eyes), recurrence rate was 17.5%(7 cases, 11 eyes), while the cure rate of the control group was 60.3%(25 cases, 38 eyes), recurrence rate was 39.7%(16 cases, 25 eyes), the difference of long term cure rate was statistical significance between the two groups(P<0.05).

CONCLUSION: The clinical curative effect of slack skin excision combined with orbicularis oculi muscle shortening in the treatment of senile inferior entropion is better than orbicularis muscle shortening operation, recommending application in the clinical.

2014年梅州市医药卫生科研立项课题(No.2014-B-83)