CAJ | 학술논문

目的：探讨更简单、切口小损伤轻、手术时间短、疗效好的老年性上睑下垂的手术治疗方法。方法：于2010年4月-2013年10月对老年性上睑下垂采用小切口提上睑肌缝线缩短法联合微创重睑术治疗老年性上睑下垂，其中男性8例，女性10例，共22眼，年龄55～82岁。结果：术后观察6个月无暴露性角膜炎，术后双上睑缘位于角膜上缘1.0～2.0mm，眼睑闭合不全约2.0mm，双眼睑裂重睑对称，无睑下垂复发病例。结论：老年性上睑下垂是老年人常见性眼病，采用小切口提上睑肌缝线缩短法联合微创重睑术治疗老年性上睑下垂，简化了手术难度，伤口损伤小恢复快，手术时间短，睑成型自然美丽，疗效明显，适合提上睑肌功能良好睑皮肤无过度过剩的老年性上睑下垂的手术治疗。
목적：탐토경간단、절구소손상경、수술시간단、료효호적노년성상검하수적수술치료방법。방법：우2010년4월-2013년10월대노년성상검하수채용소절구제상검기봉선축단법연합미창중검술치료노년성상검하수，기중남성8례，녀성10례，공22안，년령55～82세。결과：술후관찰6개월무폭로성각막염，술후쌍상검연위우각막상연1.0～2.0mm，안검폐합불전약2.0mm，쌍안검렬중검대칭，무검하수복발병례。결론：노년성상검하수시노년인상견성안병，채용소절구제상검기봉선축단법연합미창중검술치료노년성상검하수，간화료수술난도，상구손상소회복쾌，수술시간단，검성형자연미려，료효명현，괄합제상검기공능량호검피부무과도과잉적노년성상검하수적수술치료。
Objective To study the surgical treatment for senile ptosis with more simple, small incision, light damage, short operation time and good curative effect. Methods From April 2010 to March 2014 the treatment was carried out by levator of upper eyelid suture resection with small incision combined with minimally invasive double fold eyelid operation on senile ptosis,there were 8 males and 10 females, 22 eyes,aged 55-82 years old. Results There was no exposure keratitis during a follow-up of 6 months,postoperative double upper eyelid in corneal margin of about 1-2.0mm, incomplete eyelid closure of about 2.0mm, binocular palpebral fissure doublesymmetry,no ptosis recurrence. Conclusions Senile ptosis is common eye disease for old people,using levator of upper eyelid suture resection combined with minimally invasive double eyelid surgery in treatment of senile ptosis, simplifies the operation difficulty, small wound injury recovery,short operation time,eyelid forming natural beauty, obvious curative effect,which is suitable for levator muscle function eyelid skin without surgery in the treatment of senile excessive surplus ptosis.