中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
4期
352-353
,共2页
额肌筋膜瓣悬吊术%重度先天性上睑下垂%睑轮匝肌桥瓣
額肌觔膜瓣懸弔術%重度先天性上瞼下垂%瞼輪匝肌橋瓣
액기근막판현조술%중도선천성상검하수%검륜잡기교판
frontalis aponeurosis flap suspension%severe congenital blepharoptosis%orbicularis muscle bridge
目的 探讨在额肌筋膜瓣悬吊术中,行否睑轮匝肌桥瓣对手术效果的影响.方法 分析2003～2006年接受手术治疗的重度先天性上睑下垂患者,随机分为A组(术中做睑轮匝肌桥瓣)与B组(术中未做睑轮匝肌桥瓣),比较两组术后远期效果.结果 术后6个月比较,A组矫正满意42只眼,矫正良好7只眼,矫正不良2只眼;B组矫正满意51只眼,矫正良好6只眼,矫正不良0只眼,经Ridit检验两组差异有统计学意义(P＜0.01).结论 在额肌筋膜瓣悬吊术中,睑轮匝肌桥瓣对手术效果并无至关重要的作用,相反因其术后较多的产生局部粘连,可能使额肌筋膜瓣的活动性受到一定程度的限制.因此,不主张在该手术中采用睑轮匝肌桥瓣的做法.
目的 探討在額肌觔膜瓣懸弔術中,行否瞼輪匝肌橋瓣對手術效果的影響.方法 分析2003～2006年接受手術治療的重度先天性上瞼下垂患者,隨機分為A組(術中做瞼輪匝肌橋瓣)與B組(術中未做瞼輪匝肌橋瓣),比較兩組術後遠期效果.結果 術後6箇月比較,A組矯正滿意42隻眼,矯正良好7隻眼,矯正不良2隻眼;B組矯正滿意51隻眼,矯正良好6隻眼,矯正不良0隻眼,經Ridit檢驗兩組差異有統計學意義(P＜0.01).結論 在額肌觔膜瓣懸弔術中,瞼輪匝肌橋瓣對手術效果併無至關重要的作用,相反因其術後較多的產生跼部粘連,可能使額肌觔膜瓣的活動性受到一定程度的限製.因此,不主張在該手術中採用瞼輪匝肌橋瓣的做法.
목적 탐토재액기근막판현조술중,행부검륜잡기교판대수술효과적영향.방법 분석2003～2006년접수수술치료적중도선천성상검하수환자,수궤분위A조(술중주검륜잡기교판)여B조(술중미주검륜잡기교판),비교량조술후원기효과.결과 술후6개월비교,A조교정만의42지안,교정량호7지안,교정불량2지안;B조교정만의51지안,교정량호6지안,교정불량0지안,경Ridit검험량조차이유통계학의의(P＜0.01).결론 재액기근막판현조술중,검륜잡기교판대수술효과병무지관중요적작용,상반인기술후교다적산생국부점련,가능사액기근막판적활동성수도일정정도적한제.인차,불주장재해수술중채용검륜잡기교판적주법.
Objective To evaluate whether orbicularis muscle bridge can affect the clinical results for treating severe congenital blepharoptosis by frontalis aponeurosis flap suspension surgery.Methods The subjects were selected from the in-hospital severe blepharoptosis patients of Fuzhou Southeast Eye Hospital from 2003 to 2006.All patients were randomly allocated into two groups:Group A(with orbicularis muscle bridge)and Group B(without orbicularis muscle bridge).There were 44 patients(51 eyes)in Group A and 49 patients(57 eyes)in Group B.All patients of these two groups were followed up and the near and long-term therapeutic effects were compared.Results In group A,42 eyes were completely corrected,6 eyes corrected,2 cases poorly corrected.In group B,51eyes completely corrected,6 eyes corrected,and none poorly corrected.There is statistical difference between the two groups using Ridit method(P＜0.01).Conclusions Making an orbicularis muscle bridge during frontalis aponeurosis flap suspension surgery can not contribute to the clinical results for treating severe congenital blepharoptosis.Orbicularis muscle bridge may limit the activity of frontalis aponeurosis flap because of local adhesion.Therefore we do not advocate orbicularis muscle bridge during frontalis aponeurosis flap suspension surgery for treating severe congenital blepharoptosis.
