CAJ | 학술논문

目的：探讨先天性上睑下垂两种不同手术方式的疗效。 　　方法：根据手术方式分为四组：行双眼额肌筋膜瓣悬吊术组( A组,21例42眼),行双眼提上睑肌缩短术组( B组,19例38眼),行单眼额肌筋膜瓣悬吊术组( C组,24例24眼),行单眼提上睑肌缩短术组( D组,29例29眼)。随访观察各组患者术后的功能和外观疗效。 　　结果：(1)术后早期两种手术方式功能成功率均达100%,术后晚期提上睑肌缩短术的功能成功率(97.01%)高于额肌筋膜瓣悬吊术(87.88%),两者差异具有统计学意义(P<0.05)。(2)术后早期两种手术方式的外观疗效差异无统计学意义(P >0.05)；术后晚期,B 组“眼睑弧度”、“双重睑”两项外观疗效指标优于 A 组(P<0.01)；D 组“眼睑弧度”、“眼睑高度对称”、“双重睑”三项外观疗效指标优于C组(P<0.01)。 　　结论：两种手术方式治疗先天性上睑下垂均具有较好的疗效；在外观疗效上提上睑肌缩短术更有优势。
목적：탐토선천성상검하수량충불동수술방식적료효。 　　방법：근거수술방식분위사조：행쌍안액기근막판현조술조( A조,21례42안),행쌍안제상검기축단술조( B조,19례38안),행단안액기근막판현조술조( C조,24례24안),행단안제상검기축단술조( D조,29례29안)。수방관찰각조환자술후적공능화외관료효。 　　결과：(1)술후조기량충수술방식공능성공솔균체100%,술후만기제상검기축단술적공능성공솔(97.01%)고우액기근막판현조술(87.88%),량자차이구유통계학의의(P<0.05)。(2)술후조기량충수술방식적외관료효차이무통계학의의(P >0.05)；술후만기,B 조“안검호도”、“쌍중검”량항외관료효지표우우 A 조(P<0.01)；D 조“안검호도”、“안검고도대칭”、“쌍중검”삼항외관료효지표우우C조(P<0.01)。 　　결론：량충수술방식치료선천성상검하수균구유교호적료효；재외관료효상제상검기축단술경유우세。
AlM:To compare the functional and cosmetic effects of two different surgical techniques for congenital ptosis. METHODS: The patients were divided into four groups according to the operation method: Patients undertook bilateral fascial suspension surgery as Group A ( 42 eyes of 21 cases ); Patients undertook bilateral levator muscle shortening surgery as Group B ( 38 eyes of 19 cases );Patients undertook unilateral fascial suspension surgery as Group C ( 24 eyes of 24 cases ); Patients undertook unilateral levator muscle shortening surgery as Group D (29 eyes of 29 cases). Each group patients were followed for postoperative function and appearance effect. RESULTS: 1 ) Early postoperative of two operation function success rate was up to 100%, the function of levator muscle shortening surgery was 97. 01% in the late postoperative, was higher than bilateral fascial suspension surgery (87. 88%), with statistical difference in both surgerys (P<0. 05). 2) Appearance effect of two kinds of operation method in early postoperative had no statistical difference (P >0. 05); ln the late postoperative, the mean grades for “Lid Contour” and “Lid Crease” of Group B were better than that of Group A (P<0. 01). While the mean grades for “Lid Contour”, “Symmetry of Lid Height” and “Lid Crease” of Group D were similarly better than that of Group C (P<0. 01). CONCLUSlON: Two kinds of operation method have good effects on the treatment of congenital ptosis. ln terms of cosmetic effect, levator muscle shortening surgery is better.