CAJ | 학술논문

目的探讨病因和药物性治疗无效的老年获得性上睑下垂的手术方式,并对其效果进行评价.方法对2007年3月至2010年3月间收治的56例(72只眼)老年获得性上睑下垂患者,进行个性化手术设计,其中,额肌瓣悬吊术8例(12只眼),提上睑肌缩短联合睑板切除术13例(16只眼),单纯提上睑肌缩短术30例(36只眼),提上睑肌腱膜折叠术5例(8只眼).结果 1只眼过矫,1只眼欠矫,3只眼回退,其余随访一年以上均疗效满意,外形美观,无并发症,满意率达93％.结论依照老年获得性上睑下垂病因、年龄特点以及提上睑肌功能情况,合理选择手术方式,能达到安全、可靠、满意的矫正效果.
목적 탐토병인화약물성치료무효적노년획득성상검하수적수술방식,병대기효과진행평개.방법 대2007년3월지2010년3월간수치적56례(72지안)노년획득성상검하수환자,진행개성화수술설계,기중,액기판현조술8례(12지안),제상검기축단연합검판절제술13례(16지안),단순제상검기축단술30례(36지안),제상검기건막절첩술5례(8지안).결과 1지안과교,1지안흠교,3지안회퇴,기여수방일년이상균료효만의,외형미관,무병발증,만의솔체93％.결론 의조노년획득성상검하수병인、년령특점이급제상검기공능정황,합리선택수술방식,능체도안전、가고、만의적교정효과.
Objective To explore the etiology and the surgical approach on those drug treatment failure elderly acquired ptosis,and to evaluate its effectiveness. Methods The 56 cases (72 eyes)of elderly acquired ptosis were treated from March 2007 to March 2010.The causes were analyzed and characteristic operation modes were designed according to the status of each individual patient.Of frontalis muscle flap suspension was performed on 8 cases (12 eyes),superior levator muscle shortening united tarsal plate resection on 13 cases (16 eyes),simple superior levator muscle shortening on 30 cases (36 eyes) and superior levator aponeurosis folding on 5 cases (8 eyes). Results After the surgery,1 eye was overcorrected,1 eye undercorrected,3 eyes fallback,and all cases were properly corrected that followed-up for more than one year with good effect,beauty,and without complications.Satisfaction rate was 93％. Conclusions In accordance with the etiology,age and function of superior levator muscle of elderly acquired ptosis,choosing the reasonable and characteristic operation modes are able to achieve ideal,safety,and satisfied results.