中国美容医学
中國美容醫學
중국미용의학
CHINESE JOURNAL OF AESTHETIC MEDICINE
2015年
12期
34-36
,共3页
额肌瓣法%重度%上睑下垂%临床分析
額肌瓣法%重度%上瞼下垂%臨床分析
액기판법%중도%상검하수%림상분석
frontal muscle flap%severe%ptosis%clinical analysis
目的：对重度上睑下垂患者施行额肌瓣法矫正治疗,观察并评估其临床疗效。方法：选择了60例来笔者所在医院治疗的重度上睑下垂患者共90眼,用额肌瓣法治疗半年后进行随访,通过观察测量患者术后的睑裂宽度、上睑活动度等指标综合评定治愈和未愈，并计算有效率，整体评估治疗效果，最后采用计算机SPSS12.0软件进行统计分析。结果：所有患者经治疗后上睑下垂症状整体改善较明显，有效率为93.3%，术后测量睑裂宽平均为（6.5±0.6）mm，上睑活动度（3.5±0.3）mm，治疗前后各指标对比差异有统计学意义(P＜0.05)。结论：额肌瓣法矫正重度上睑下垂效果较好，值得临床推广应用。
目的：對重度上瞼下垂患者施行額肌瓣法矯正治療,觀察併評估其臨床療效。方法：選擇瞭60例來筆者所在醫院治療的重度上瞼下垂患者共90眼,用額肌瓣法治療半年後進行隨訪,通過觀察測量患者術後的瞼裂寬度、上瞼活動度等指標綜閤評定治愈和未愈，併計算有效率，整體評估治療效果，最後採用計算機SPSS12.0軟件進行統計分析。結果：所有患者經治療後上瞼下垂癥狀整體改善較明顯，有效率為93.3%，術後測量瞼裂寬平均為（6.5±0.6）mm，上瞼活動度（3.5±0.3）mm，治療前後各指標對比差異有統計學意義(P＜0.05)。結論：額肌瓣法矯正重度上瞼下垂效果較好，值得臨床推廣應用。
목적：대중도상검하수환자시행액기판법교정치료,관찰병평고기림상료효。방법：선택료60례래필자소재의원치료적중도상검하수환자공90안,용액기판법치료반년후진행수방,통과관찰측량환자술후적검렬관도、상검활동도등지표종합평정치유화미유，병계산유효솔，정체평고치료효과，최후채용계산궤SPSS12.0연건진행통계분석。결과：소유환자경치료후상검하수증상정체개선교명현，유효솔위93.3%，술후측량검렬관평균위（6.5±0.6）mm，상검활동도（3.5±0.3）mm，치료전후각지표대비차이유통계학의의(P＜0.05)。결론：액기판법교정중도상검하수효과교호，치득림상추엄응용。
Objective To validate the clinical effects of frontal muscle flap for correcting severe ptosis, and assess its efficacy. Methods We selected 60 patients with severe ptosis patients treated in our hospital with a total 90 eyes,were followed up after treatment for six months with the frontal muscle flap.Measured by observing patients palpebral fissure breadth,upper eyelid activity and other indicators of a comprehensive assessment healing and healed,and calculate the efficiency to overall assessment of treatment effectiveness.Finally,using the computer SPSS12.0 software for statistical analysis. Results All patients had more significant improvement after treatment,which cure effective rate was 93.3%.Palpebral fissure breadth after surgery measuring was(6.5 ± 0.6)mm,the upper eyelid activity was(3.5 ± 0.3)mm.The comparison between before and after each treatment were statistically significant(P<0.05). Conclusion Frontal muscle flap for correction of severe ptosis with good prospects for clinical application is worthy of further promotion and improvement.
