CAJ | 학술논문

目的探讨采用眶骨造孔法将泪腺经泪腺窝微骨孔原位固定治疗泪腺脱垂的临床疗效.方法回顾性分析24例48只眼泪腺脱垂患者,经重睑皮肤切口,采用颞上方眶骨缘造孔法,将泪腺组织经微骨孔固定于泪腺窝,分析影像学及眼部外观改变,评价泪腺的复位情况,分析术前术后泪液分泌试验、泪膜破裂时间,观察泪腺功能的改变.术后随访6～24个月(平均12个月).结果术后影像学显示所有24例48只眼的泪腺解剖复位率100％,随访期间均无泪腺脱垂复发,上睑外侧臃肿消失,重睑形成良好,眼部外观满意.术前术后Schirmer试验、泪膜破裂时间(BUT)差异无统计学意义(P＞0.05),所有24例48只眼均无干眼症状.结论经重睑皮肤切口行泪腺窝眶骨造孔固定泪腺治疗泪腺脱垂,泪腺解剖复位良好,不易复发,重睑形成自然,对泪腺功能损伤小,值得临床推广.
목적 탐토채용광골조공법장루선경루선와미골공원위고정치료루선탈수적림상료효.방법 회고성분석24례48지안루선탈수환자,경중검피부절구,채용섭상방광골연조공법,장루선조직경미골공고정우루선와,분석영상학급안부외관개변,평개루선적복위정황,분석술전술후루액분비시험、루막파렬시간,관찰루선공능적개변.술후수방6～24개월(평균12개월).결과 술후영상학현시소유24례48지안적루선해부복위솔100％,수방기간균무루선탈수복발,상검외측옹종소실,중검형성량호,안부외관만의.술전술후Schirmer시험、루막파렬시간(BUT)차이무통계학의의(P＞0.05),소유24례48지안균무간안증상.결론 경중검피부절구행루선와광골조공고정루선치료루선탈수,루선해부복위량호,불역복발,중검형성자연,대루선공능손상소,치득림상추엄.
Objective To evaluate the effect of suspension of the prolapsed lacrimal glands via keyhole of lacrimal fossa.Methods Twenty four patients (48 eyes) with prolapsed lacrimal glands were studied for retrospective analysis.The operation was done via double eyelid incision approach.Two keyholes were performed behind superolateral orbital rim.The lacrimal glands were suspended into the lacrimal fossa through the 2 keyholes with 3-0 suture.The appearance of the patients and CT features were analyzed after operation.The Schirmer's test and break up time (BUT) test were done before and after operation in all the patients.The postoperative follow up periods ranged from 6 to 24 months (mean=12 months).Results The lacrimal glands of 24 patients (48 eyes) were repositioned perfectly.No recurrence occurred during the follow up periods.The striking bulkincss of temporal upper eyelid disappeared,upper eyelid arc was moderate,and the appearance was satisfying.The results of Schirmer's test and BUT test were normal after operation.No one suffered the dry eye syndrome and foreign body sensation after operation.Conclusions Suspension the lacrimal glands into lacrimal fossa through the pores of superolateral orbital rim is a good method to treat lacrimal glands prolapse,it can achieve functional and cosmetically acceptable results,and may have wide application prospects in future.