中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2014年
1期
52-54
,共3页
李田%华雪萍%杨乾军%黄唐钦
李田%華雪萍%楊乾軍%黃唐欽
리전%화설평%양건군%황당흠
眼睑痉挛%眶周肌肉%眼睑闭合%有效性%安全性
眼瞼痙攣%眶週肌肉%眼瞼閉閤%有效性%安全性
안검경련%광주기육%안검폐합%유효성%안전성
Blepharospasm%Periorbital muscle%Dysraphism%Effectiveness%Safety
目的 探讨眶周全肌切除术治疗特发性眼睑痉挛的有效性和安全性.方法 回顾性病例分析.1999年至2002年间我院收治的采用眶周全肌切除术治疗的43例特发性眼睑痉挛患者纳入研究.术后随访12个月,比较术前术后眼睑痉挛分级级别,并观察术后并发症.结果 43例特发性眼睑痉挛患者术后眼睑痉挛分级均明显降低,术后随访12个月,12例术前睑痉挛为3级者,术后均为0级,完全矫正.31例术前4级者,术后4例为0级;25例为l级,2例为2级.无一例出现眼睑闭合不全.结论 对临床分级3~4级的特发性眼睑痉挛患者,眶周全肌切除术疗效确切.手术效果与病情临床分级相关.
目的 探討眶週全肌切除術治療特髮性眼瞼痙攣的有效性和安全性.方法 迴顧性病例分析.1999年至2002年間我院收治的採用眶週全肌切除術治療的43例特髮性眼瞼痙攣患者納入研究.術後隨訪12箇月,比較術前術後眼瞼痙攣分級級彆,併觀察術後併髮癥.結果 43例特髮性眼瞼痙攣患者術後眼瞼痙攣分級均明顯降低,術後隨訪12箇月,12例術前瞼痙攣為3級者,術後均為0級,完全矯正.31例術前4級者,術後4例為0級;25例為l級,2例為2級.無一例齣現眼瞼閉閤不全.結論 對臨床分級3~4級的特髮性眼瞼痙攣患者,眶週全肌切除術療效確切.手術效果與病情臨床分級相關.
목적 탐토광주전기절제술치료특발성안검경련적유효성화안전성.방법 회고성병례분석.1999년지2002년간아원수치적채용광주전기절제술치료적43례특발성안검경련환자납입연구.술후수방12개월,비교술전술후안검경련분급급별,병관찰술후병발증.결과 43례특발성안검경련환자술후안검경련분급균명현강저,술후수방12개월,12례술전검경련위3급자,술후균위0급,완전교정.31례술전4급자,술후4례위0급;25례위l급,2례위2급.무일례출현안검폐합불전.결론 대림상분급3~4급적특발성안검경련환자,광주전기절제술료효학절.수술효과여병정림상분급상관.
Objective To estimate the safety and effectiveness of complete resection of the periorbital muscle for treating essential blepharospasm.Methods This study was a retrospective analysis.Forty-three patients diagnosed with essential blepharospasm were treated by completely resecting the periorbital muscles under local anesthesia.The effectiveness of the method was based on the grading norm of clinical blepharospasm,using the preoperative and postoperative contrasts,and conducting a follow-up survey during the 12 months postoperatively to identify eyelid dysraphisms or other complications.Results Among the 43 patients,preoperative blepharospasms were grade 3 and postoperative blepharospasms were grade 0 in 12 patients; the other 31 patients were grade 4 before surgery and after surgery were grade 0 in 4 patients,grade 1 in 25 paitients,and grade 2 in 4 patients.No eyelid dysraphism was found in the follow-up survey.Conclusion For clinical grading levels 3-4 in patients with idiopathic blepharospasm,comprehensive orbital muscle resection is useful and effective.The effectiveness of the procedure depends on the severity of the illness:the more severe preoperative,the less ideal effect.