中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
6期
456-458
,共3页
上睑下垂,老年性,腱膜性%手术
上瞼下垂,老年性,腱膜性%手術
상검하수,노년성,건막성%수술
Ptosis,senile,aponeurotic%Surgery
目的 探讨老年腱膜性上睑下垂手术治疗的临床效果.方法 对47例(59眼)老年腱膜性上睑下垂行上睑提肌腱膜修复与折叠术或上睑提肌缩短术.观察手术情况、术后上睑位置及并发症等.随访3 ～ 16个月,平均(10.68 ±2.83)月.结果 术中全部矫正良好.上睑缘遮盖角膜上缘的范围(垂直距离)术后1个月为(1.03±0.68) mm,术后3个月(1.48±0.61)mm,与术前比较差异有统计学意义(P＜0.05).术后5例(7眼)欠矫,需行再次手术.术后暴露性角膜炎1例(1眼),有4例双眼不对称,无眼睑畸形发生,无过矫.手术成功率88.14％.结论 老年腱膜性上睑下垂手术治疗临床效果良好,注重术前检查和术中观察,选择合适术式,可以提高术后效果.
目的 探討老年腱膜性上瞼下垂手術治療的臨床效果.方法 對47例(59眼)老年腱膜性上瞼下垂行上瞼提肌腱膜脩複與摺疊術或上瞼提肌縮短術.觀察手術情況、術後上瞼位置及併髮癥等.隨訪3 ～ 16箇月,平均(10.68 ±2.83)月.結果 術中全部矯正良好.上瞼緣遮蓋角膜上緣的範圍(垂直距離)術後1箇月為(1.03±0.68) mm,術後3箇月(1.48±0.61)mm,與術前比較差異有統計學意義(P＜0.05).術後5例(7眼)欠矯,需行再次手術.術後暴露性角膜炎1例(1眼),有4例雙眼不對稱,無眼瞼畸形髮生,無過矯.手術成功率88.14％.結論 老年腱膜性上瞼下垂手術治療臨床效果良好,註重術前檢查和術中觀察,選擇閤適術式,可以提高術後效果.
목적 탐토노년건막성상검하수수술치료적림상효과.방법 대47례(59안)노년건막성상검하수행상검제기건막수복여절첩술혹상검제기축단술.관찰수술정황、술후상검위치급병발증등.수방3 ～ 16개월,평균(10.68 ±2.83)월.결과 술중전부교정량호.상검연차개각막상연적범위(수직거리)술후1개월위(1.03±0.68) mm,술후3개월(1.48±0.61)mm,여술전비교차이유통계학의의(P＜0.05).술후5례(7안)흠교,수행재차수술.술후폭로성각막염1례(1안),유4례쌍안불대칭,무안검기형발생,무과교.수술성공솔88.14％.결론 노년건막성상검하수수술치료림상효과량호,주중술전검사화술중관찰,선택합괄술식,가이제고술후효과.
Objective To explore the clinical efficacy of surgical correction of senile aponeurotic ptosis.Methods 59 eyes of 47 cases of senile aponeurotic ptosis were treated by levator aponeurosis repair and plication or levator resection.Observational items included upper eyelid position and surgical complications.The average follow-up was (10.68 ± 2.83) months (range 3 ～ 16 months).Results The surgeries were performed successfully in all cases.The upper eyelid margin rested (1.03 ± 0.68) mm below the superior limbus at 1 month after surgery and (1.48 ± 0.61) mm below the superior limbus at 3 months after surgery.Compared with the preoperative values,the differences were statistically significant(P ＜ 0.05).5 cases (7 eyes) were undercorrection and needed the second surgery.Other postoperative complications included exposure keratitis (1 eye) and asymmetric appearance (4 eyes).No eyelid deformity or overcorrection were observed.The surgical success rate was 88.14％.Conclusion Surgical correction of senile aponeurotic ptosis has good clinical effect.The postoperative outcomes can be improved with emphasis on preoperative evaluation,intraoperative observation and right choice of surgical procedure.
