不同手术方式治疗睑板腺囊肿患儿的疗效比较
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黑龙江省卫生计生委项目(No.2016246)


Comparison of curative effect of different surgical methods on children with meibomian cyst
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Heilongjiang Provincial Health and Family Planning Commission(No.2016246)

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    摘要:

    目的:比较不同手术方式治疗睑板腺囊肿患儿的疗效。

    方法:选择150例需要进行睑板腺囊肿手术的儿童,分为传统组和烧灼组,传统组采用传统手术剪除术,烧灼组采取囊肿摘除聚维酮碘棉片烧灼法,观察两组患儿平均手术时长、发生血肿的概率、治愈率、复发率及家属满意程度。

    结果:传统组和烧灼组患儿一般资料无差异(P>0.05)。传统组和烧灼组平均手术时间分别为14.5±2.58、12.29±1.53min(P<0.05); 发生血肿的概率为21.3%、9.3%,烧灼组少于传统组(P<0.05); 烧灼组和传统组的总有效率分别为97.3%、89.3%(P>0.05),复发率烧灼组患儿较少,但两组比较无差异(P>0.05); 烧灼组患儿家属满意度为97.3%,好于传统组86.7%(χ2=4.832,P<0.05)。

    结论:囊肿摘除加聚维酮碘棉片烧灼可降低睑板腺囊肿患儿手术时间和血肿率,治愈率较高。

    Abstract:

    AIM:Comparison of curative effect of different surgical methods on children with meibomian cyst.

    METHODS: Totally 150 children who needed meibomian gland cyst surgery were selected and divided into traditional group and cauterization group. The traditional group used traditional surgical excision and the cauterization group took cysts to remove povidone-iodinated cotton tablets. The average operation time, the probability of hematoma, cure rate, recurrence rate and family satisfaction.

    RESULTS:There was no significant difference in general data of children in traditional group and cautery group(P>0.05). The average operation time of the traditional group and the cautery group were(14.5±2.58)min and(12.29±1.53)min(P<0.05); the probability of hematoma was 21.3% and 9.3%, and the cautery group had less compared with the traditional group(P<0.05); The total effective rates of the cautery group and the traditional group were 97.3% and 89.3% respectively(P>0.05), there were fewer children in the cautery group(P>0.05); the satisfaction of the family members of the children in the cauterization group was 97.3%, better than the traditional group 86.7%(χ2=4.832, P<0.05).

    CONCLUSION:The use of cyst curettage plus povidone-iodine cotton tablets for cauterization can reduce the operation time and hematoma rate of meibomian gland cysts, and the curative effect is high. It is worthy of clinical application.

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张玮玮,张雪,夏凤杰,等.不同手术方式治疗睑板腺囊肿患儿的疗效比较.国际眼科杂志, 2020,20(10):1819-1822.

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  • 收稿日期:2020-03-18
  • 最后修改日期:2020-09-07
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  • 在线发布日期: 2020-09-17
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