中国美容医学
中國美容醫學
중국미용의학
CHINESE JOURNAL OF AESTHETIC MEDICINE
2015年
8期
16-19
,共4页
上睑下垂%微创%上睑提肌
上瞼下垂%微創%上瞼提肌
상검하수%미창%상검제기
ptosis%minimally invasive%palpabralis
目的：评估微创矫正上睑下垂术的临床效果，分析失败原因，探讨提高手术成功率的要点。方法：选择患者满意的重睑高度并画线，在线上标志2～4个点。局麻满意后，切开标记点皮肤不超过1mm。于结膜面的睑板上缘预置牵引线。用3-0双针尼龙线2～4根，每根线的两端先后从上穹窿结膜的同一点进针，穿过结膜深部，穿行于上睑提肌和Muller肌至睑板上缘穿出，将上睑提肌腱膜和Muller肌收紧。线两端再从睑板上缘的出针点穿过结膜及睑板从皮肤面的切口处穿出，拉紧打结，线结埋于皮下，上睑下垂得以矫正，外观无明显伤口及线结。结果：接受微创上睑下垂矫正术并且术后随访6个月以上者共有21例。完全矫正10只眼，下垂改善13只眼，无效2只眼。有效率92%，满意率40%。结论：微创上睑下垂矫正术虽然有其优点，但效果不能持久，易复发。总结原因发现，注意使收紧线穿行于肌肉深浅不同的层面、选择合适的缝线、增加悬吊线的数量，可以明显提高成功率。
目的：評估微創矯正上瞼下垂術的臨床效果，分析失敗原因，探討提高手術成功率的要點。方法：選擇患者滿意的重瞼高度併畫線，在線上標誌2～4箇點。跼痳滿意後，切開標記點皮膚不超過1mm。于結膜麵的瞼闆上緣預置牽引線。用3-0雙針尼龍線2～4根，每根線的兩耑先後從上穹窿結膜的同一點進針，穿過結膜深部，穿行于上瞼提肌和Muller肌至瞼闆上緣穿齣，將上瞼提肌腱膜和Muller肌收緊。線兩耑再從瞼闆上緣的齣針點穿過結膜及瞼闆從皮膚麵的切口處穿齣，拉緊打結，線結埋于皮下，上瞼下垂得以矯正，外觀無明顯傷口及線結。結果：接受微創上瞼下垂矯正術併且術後隨訪6箇月以上者共有21例。完全矯正10隻眼，下垂改善13隻眼，無效2隻眼。有效率92%，滿意率40%。結論：微創上瞼下垂矯正術雖然有其優點，但效果不能持久，易複髮。總結原因髮現，註意使收緊線穿行于肌肉深淺不同的層麵、選擇閤適的縫線、增加懸弔線的數量，可以明顯提高成功率。
목적：평고미창교정상검하수술적림상효과，분석실패원인，탐토제고수술성공솔적요점。방법：선택환자만의적중검고도병화선，재선상표지2～4개점。국마만의후，절개표기점피부불초과1mm。우결막면적검판상연예치견인선。용3-0쌍침니룡선2～4근，매근선적량단선후종상궁륭결막적동일점진침，천과결막심부，천행우상검제기화Muller기지검판상연천출，장상검제기건막화Muller기수긴。선량단재종검판상연적출침점천과결막급검판종피부면적절구처천출，랍긴타결，선결매우피하，상검하수득이교정，외관무명현상구급선결。결과：접수미창상검하수교정술병차술후수방6개월이상자공유21례。완전교정10지안，하수개선13지안，무효2지안。유효솔92%，만의솔40%。결론：미창상검하수교정술수연유기우점，단효과불능지구，역복발。총결원인발현，주의사수긴선천행우기육심천불동적층면、선택합괄적봉선、증가현조선적수량，가이명현제고성공솔。
Objective To assess the clinical effect of minimally invasive correction of ptosis. Analysis of the causes of failure.To find the methods of improvement the success rate of operation. Methods Mark 2-4 points on upper lid fold.Afrer anesthesia,cutting the skin in markers.To preset the tractive line at tarsus margin.After turning the upper eyelid inside out,thread is introduced into it through the conjunctiva close to the superior fornix.Then the superior palpebral levator muscle and the tarsus are connected using threads. Two ends of the thread through out from the upper edge of the skin. This thread application is performed at 2-4 locations of the upper eyelid. By tightening the threads,the tar?sus was elevated and the ptosis eyelid is corrected. Results 21 patients were operated on with this surgical method.The complete correction of ptosis was achieved with 10 eyes,and improvement was achieved with 13 eyes.The completely ineffective was in 2 eyes during 6 months followed-up.The ef?fective rate is 92%.The satisfaction rate of 40%. Conclusions lthough this operation is minimally inva?sive,but can not keep the result for long time. Tightening up the thread through the muscle in different levels,using more suitable and quantity thread may be able to meet the success.
