CAJ | 학술논문

目的明确睑成形术后继发上睑下垂的病因，正确选择修复方法。方法根据术前、术中上睑提肌的功能状况以及术中所见上睑的解剖关系确定修复方案，修复的关键是眶隔整形和重建上睑提肌的生理解剖结构。结果临床治疗18例，20只眼。随访时间为1周～4年。16只效果良好，3只效果较满意，1只效果欠佳。结论术前、术中上睑提肌肌力测定对评判导致上睑下垂综合因素的作用具有定量诊断意义。以此为依据制定的修复方案经临床实践证明比较合理，并提出上睑成形术后继发上睑下垂的预防措施。
목적명학검성형술후계발상검하수적병인，정학선택수복방법。방법근거술전、술중상검제기적공능상황이급술중소견상검적해부관계학정수복방안，수복적관건시광격정형화중건상검제기적생리해부결구。결과림상치료18례，20지안。수방시간위1주～4년。16지효과량호，3지효과교만의，1지효과흠가。결론술전、술중상검제기기력측정대평판도치상검하수종합인소적작용구유정량진단의의。이차위의거제정적수복방안경림상실천증명비교합리，병제출상검성형술후계발상검하수적예방조시。
Objective To analyze the reasons of the blepharoptosis caused after blepharoplasty in order to search the proper method to correct the problem. Methods Eighteen patients of the blepharoptosis with 20eyes were undergoing for this study. The ptosis was determined with the measurement of the function of the levator muscle. The proper surgical technique selected was performed mainly to focus on the repair of the orbital septum and the levator muscle. All of the patients were followed up from 1 week to 4 years after the operation. Results Eighteen acquired blepharoptosis patients with 20 eyes were repaired after the analyzing the reasons. The results were satisfactory in 16 eyes,improved in 3 eyes and recurrent in 1 eye. Conclusions It is necessary to evaluate the function of the injured levator muscle and analyze the surgical-induced reasons of the ptosis eye before to repair the acquired ptosis. It is also reminded of the surgeons to pay more attention in order to prevent the occurrence of the problem when they do the blepharoplasty.