激光消融与电解治疗倒睫的对比研究
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桂林市科技攻关项目(No.201000128-12)


Contrastive study of laser ablation and electrolysis treatment in trichiasis
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Science and Technology Research Project of Guilin City(No.201000128-12)

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    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。

    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.

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陈旭,温利辉,詹磊,等.激光消融与电解治疗倒睫的对比研究.国际眼科杂志, 2015,15(9):1666-1667.

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  • 收稿日期:2015-04-22
  • 最后修改日期:2015-08-05
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  • 在线发布日期: 2015-08-27
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