[摘 要]目的 探讨眼轮匝肌折叠缩短联合眼袋去除术治疗老年性睑内翻患者的临床效果和安全性。方法 选取我院2020年9月-2023年7月收治的82例老年性睑内翻患者为研究对象，根据随机数字表法分为对照组和观察组，各41例。对照组实施眼睑皮肤轮匝肌切除术，观察组实施眼轮匝肌折叠缩短联合眼袋去除术，比较两组围术期指标、治疗效果、并发症发生率。结果 观察组手术时间和住院时间均短于对照组，手术失血量少于对照组(P<0.05)；观察组治疗总有效率为95.12%，高于对照组的78.05%(P<0.05)；观察组并发症发生率为4.88%，低于对照组的24.39%(P<0.05)。结论 眼轮匝肌折叠缩短联合眼袋去除术治疗老年性睑内翻不仅能够缩短手术时间和住院时间，减少手术失血量，提高治疗总有效率，还能够降低并发症发生率。

    [关键词] 眼轮匝肌折叠缩短；眼袋去除术；老年性睑内翻

    [中图分类号] R779.6 [文献标识码] A [文章编号] 1004-4949(2024)23-0129-04

    Clinical Efficacy and Safety of Orbicularis Oculi Muscle Folding and Shortening Combined with Eye Bag Removal Surgery in the Treatment of Senile Entropion

    LIU Fa， HAO Jing， HAN Dan

    (The Third Department of Ophthalmology， Harbin 242 Hospital， Harbin 150036， Heilongjiang， China)

    [Abstract]Objective To investigate the clinical effect and safety of orbicularis oculi muscle folding and shortening combined with eye bag removal surgery in the treatment of senile entropion. Methods A total of 82 patients with senile entropion admitted to our hospital from September 2020 to July 2023 were selected as the research objects. According to the random number table method ......