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
2015年
2期
128-130
,共3页
上睑下垂%先天性%额肌瓣%悬吊术
上瞼下垂%先天性%額肌瓣%懸弔術
상검하수%선천성%액기판%현조술
Ptosis%Congenital%Frontal muscle flap,sector,modified%Suspension
目的 探讨改良扇形额肌瓣悬吊术治疗重度先天性上睑下垂的效果观察.方法 重度先天性上睑下垂行传统额肌瓣悬吊术50例(63眼)与改良扇形额肌瓣悬吊术50例(63眼),术后随访3个月～1年,对比观察疗效.结果 改良扇形额肌瓣悬吊术矫正良好者44眼占69.84％,矫正不足者19眼占30.16％.所有患者重睑形成良好,外观自然.传统额肌瓣悬吊术矫正良好者24眼占38.10％,矫正不足39眼占61.90％.23眼(36.51％)重睑形成良好,外观自然.19眼内侧上睑内翻,经再次矫正后睑内翻改善,效果良好.18眼上睑眉眶区血肿形成,经冷敷、止血治疗后,血肿吸收.结论 改良扇形额肌瓣悬吊术治疗重度先天性上睑下垂,矫正效果显著.对上睑提肌肌力＜4 mm,额肌肌力＞7 mm者,是较为理想的术式.
目的 探討改良扇形額肌瓣懸弔術治療重度先天性上瞼下垂的效果觀察.方法 重度先天性上瞼下垂行傳統額肌瓣懸弔術50例(63眼)與改良扇形額肌瓣懸弔術50例(63眼),術後隨訪3箇月～1年,對比觀察療效.結果 改良扇形額肌瓣懸弔術矯正良好者44眼佔69.84％,矯正不足者19眼佔30.16％.所有患者重瞼形成良好,外觀自然.傳統額肌瓣懸弔術矯正良好者24眼佔38.10％,矯正不足39眼佔61.90％.23眼(36.51％)重瞼形成良好,外觀自然.19眼內側上瞼內翻,經再次矯正後瞼內翻改善,效果良好.18眼上瞼眉眶區血腫形成,經冷敷、止血治療後,血腫吸收.結論 改良扇形額肌瓣懸弔術治療重度先天性上瞼下垂,矯正效果顯著.對上瞼提肌肌力＜4 mm,額肌肌力＞7 mm者,是較為理想的術式.
목적 탐토개량선형액기판현조술치료중도선천성상검하수적효과관찰.방법 중도선천성상검하수행전통액기판현조술50례(63안)여개량선형액기판현조술50례(63안),술후수방3개월～1년,대비관찰료효.결과 개량선형액기판현조술교정량호자44안점69.84％,교정불족자19안점30.16％.소유환자중검형성량호,외관자연.전통액기판현조술교정량호자24안점38.10％,교정불족39안점61.90％.23안(36.51％)중검형성량호,외관자연.19안내측상검내번,경재차교정후검내번개선,효과량호.18안상검미광구혈종형성,경랭부、지혈치료후,혈종흡수.결론 개량선형액기판현조술치료중도선천성상검하수,교정효과현저.대상검제기기력＜4 mm,액기기력＞7 mm자,시교위이상적술식.
Objective To investigate the curative effect of modified sector frontal muscle flap suspension for severe congenital ptosis.Methods For severe congenital blepharoptosis,conventional suspension of frontal muscle flap was performed in 63 eyes.of 50 cases,and modified sector frontal muscle flap suspension was performed in 63 eyes of 50 cases.The follow up time was 3 months to 1 year.The curative effect was observed and compared.Results In modified sector frontal muscle flap suspension group,the correction was good in 44 eyes (accounting for 69.84％),it was not enough in 19 eyes (accounting for 30.16％).The double eyelid formed well,and natural appearance was obtained in all patients.In traditional frontal muscle flap suspension group,the correction was good in 24 eyes (accounting for 38.10％),and was insufficient in 39 eyes (accounting for 61.90％).The double eyelid formed well in 23 eyes (accounting for 36.51％),the medial upper eyelid appeared entropion in 19 eyes,and the entropion was improved after secondary surgery.Hematoma formed in superior orbital region of palpebra in 18 eyes,and the hematoma was absorbed after cold compress and hemostatic treatment.Conclusion The modified sector frontal muscle flap suspension for severe congenital ptosis is effective,especially for patients with levator muscle strength less than 4 mm and frontal muscle strength more than 7 mm.
