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重睑术后泪液分泌水平的变化研究

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目的 探讨重睑术后患者泪液分泌水平的变化情况.方法 回顾性选取2020年12月—2022年9月赤峰朝聚眼科医院行切开法重睑术的31例(62眼)患者的临床资料,分别于术前、术后1周、术后1个月和术后3个月检查患者泪液分泌、泪膜破裂时间和泪河高度统计及术后并发症情况.结果 手术前后各时间点泪液分泌、泪膜破裂时间和泪河高度差异比较,差异无统计学意义(P均>0.05).手术前患者泪膜破裂时间为(7.96±6.41)s,短于术后1周的(12.90±6.49)s,差异有统计学意义(t=-4.02,P<0.05),而术后1个月和3个月与术前相比,差异无统计学意义(P均>0.05).所有患者术后均未发生明显严重并发症.结论 重睑手术后泪膜破裂时间在术后1周时较术前改善,而重睑手术对泪液分泌和泪河高度无明显影响.
Study on the Change of Tear Secretion Level after Periorbital Surgery
Objective To investigate the change of tear secretion level in patients with double eyelid surgery.Meth-ods The clinical data of thirty-one patients(sixty-two eyes)who underwent open double eyelid surgery in Chifeng Chaoju Eye Hospital from December 2020 to September 2022 were retrospectively selected.The statistics of tear se-cretion,tear film rupture time,lacrimal river height and postoperative complications were examined before surgery,1 week after surgery,1 month after surgery and 3 months after surgery.Results There were no significant differences in tear secretion,tear film rupture time and lacrimal river height at all time points before and after operation(all P>0.05).The rupture time of tear film before surgery was(7.96±6.41)s,which was shorter than(12.90±6.49)s in one week af-ter surgery,and the difference was statistically significant(t=-4.02,P<0.05),but there was no statistical significance 1 month and 3 months after surgery compared with the operation(both P>0.05).No significant complications occurred in all patients.Conclusion The rupture time of tear film after double eyelid surgery was improved at 1 week after sur-gery,but double eyelid surgery had no significant effect on tear secretion and lacrimal river height.

Periorbital surgeryTear secretionTear film rupture timeTear meniscus height

庞云雷、宝彤、么春艳

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赤峰朝聚眼科医院眼整形科,内蒙古 赤峰 024000

赤峰朝聚眼科医院医学影像科,内蒙古 赤峰 024000

赤峰朝聚眼科医院眼表病科,内蒙古 赤峰 024000

重睑手术 泪液分泌 泪膜破裂时间 泪河高度

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)