CAJ | 학술논문

目的评价不同术式治疗先天性上睑下垂的手术效果.方法先天性上睑下垂81例(89只眼).根据上睑提肌肌力、上睑下垂程度选择不同手术方法.其中15例(21只眼)选择额肌瓣悬吊术；30例(32只眼)选择上睑提肌缩短+前徙术；36例(36眼)选择上睑提肌腱膜折叠术.结果 81例(89只眼)手术效果Ⅰ级(良好)占92.13％,Ⅱ级(尚可)占6.74％,总有效率为98.87％.其中额肌瓣悬吊术Ⅰ级为85.71％,上睑提肌缩短术Ⅰ级为93.75％,上睑提肌腱膜折叠术Ⅰ级为94.44％.结论根据上睑提肌肌力、上睑下垂程度以及结合术者经验,做出客观仔细的术前检查来选择适当术式,以达到最佳矫正效果.
목적 평개불동술식치료선천성상검하수적수술효과.방법 선천성상검하수81례(89지안).근거상검제기기력、상검하수정도선택불동수술방법.기중15례(21지안)선택액기판현조술；30례(32지안)선택상검제기축단+전사술；36례(36안)선택상검제기건막절첩술.결과 81례(89지안)수술효과Ⅰ급(량호)점92.13％,Ⅱ급(상가)점6.74％,총유효솔위98.87％.기중액기판현조술Ⅰ급위85.71％,상검제기축단술Ⅰ급위93.75％,상검제기건막절첩술Ⅰ급위94.44％.결론 근거상검제기기력、상검하수정도이급결합술자경험,주출객관자세적술전검사래선택괄당술식,이체도최가교정효과.
Objective To evaluate the clinical efficacy of different surgical procedures in the management of congenital ptosis.Methods 81 cases (89 eyes) of congenital ptosis were recruited in the study.Selection of surgical procedures depended on the degree of ptosis and the degree of levator muscle function.36 eyes of 36 cases were treated by levator aponeurosis placation.Frontalis sling was performed in 21 eyes of 15 cases.32 eyes of 30 cases underwent levator resection and advancement.Results The total effective rate was 98.87％ in all cases.92.13％ patients were satisfied with the surgical results and 6.74％ cases were rated as acceptable.The satisfactory rates were 85.71％,93.75％ and 94.44％ in the cases treated by frontalis sling,levator resection and advancement and levator aponeurosis placation,respectively.Conclusion To achieve the best surgical results,the procedures should be chosen based on the several factors including surgeon experience,the degree of ptosis,the degree of levator muscle function and the results of preoperative examination.