CAJ | 학술논문

目的探讨重度特发性睑痉挛患者施行不同手术方法的临床效果和安全性.方法选取重度特发性睑痉挛20例40只眼,均为双眼发病,根据患者不同的临床表现,分别采取三种术式之一:次全肌切除术、全肌切除术、Anderson手术法.术后随访1年至1年半.结果 20例患者,均明显减轻睑痉挛的程度,所有病例眉下垂、上睑下垂、睑裂横径缩小、睑皮松弛等现象均减轻或消失.双眼睑外观基本对称,睑裂开闭自如,上睑缘位于上角巩缘与上瞳孔缘之间,功能性视力障碍消失.结论手术治疗重度特发性睑痉挛是安全有效的方法.
목적 탐토중도특발성검경련환자시행불동수술방법적림상효과화안전성.방법 선취 중도특발성검경련20례40지안,균위쌍안발병,근거환자불동적림상표현,분별채취삼충술식지일:차전기절제술、전기절제술、Anderson수술법.술후수방1년지1년반.결과 20례환자,균명현감경검경련적정도,소유병례미하수、상검하수、검렬횡경축소、검피송이등현상균감경혹소실.쌍안검외관기본대칭,검렬개폐자여,상검연위우상각공연여상동공연지간,공능성시력장애소실.결론 수술치료중도특발성검경련시안전유효적방법.
Objective To analyze outcomes of the surgical management of essential blepharospasm in advanced stages. Methods A total of 40 eyes in 20 patients with essential blepharospasm in advanced stages were treated by full myectomy,limited myectomy and Anderson surgery. The surgical methods were based on the patients' different clinical symptom and sign. Results The surgical treatment resulted in signifi- cant improvement of blepharospasm in all of the 20 patients after 12 to 18 months of follow-up. Complete or significant alleviation of eyebrow ptosis,eyelid ptosis,shortening of the length of eyelid fissure and ble- pharochalasis was achieved. All the patients had satisfactory symmetrical facial appearance, smooth eyelid open and closure and the upper eyelid margin were iocated between the upper edge of limbus and pupil. The so-called functional blind symptom completely disappeared after the surgery. Conclusion The surgical man- agement of essential blepharospasm in advanced stages is an effective and safety treatment.