中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2015年
4期
208-211
,共4页
程建霞%左兰%李富强%杜园园
程建霞%左蘭%李富彊%杜園園
정건하%좌란%리부강%두완완
先天性上睑下垂%上睑提肌缩短术%额肌瓣悬吊术
先天性上瞼下垂%上瞼提肌縮短術%額肌瓣懸弔術
선천성상검하수%상검제기축단술%액기판현조술
Congenital ptosis%Shortening operation of musculus levator palpebrae superioris%Suspension of frontal aponeurosis
目的 探讨上睑下垂矫正术联合内眦赘皮矫正术治疗先天性上睑下垂伴有内眦赘皮的临床效果.方法 对先天性上睑下垂伴内眦赘皮的患者80例105只眼进行手术治疗,上睑提肌肌力小于4 mm 64例(80只眼)采用额肌瓣悬吊术联合Y-V成形术,上睑提肌肌力大于4 mm 16例(25只眼)采用上睑提肌缩短术联合Y-V成形术.评价术后睑裂长度、内眦宽度、睑裂高度、睑裂倾斜度、复发率及并发症.结果 睑裂长度平均增加(2.0±1.0) mm,内眦宽度平均缩小(4.0±2.0) mm,平均睑裂高度(9.0土1.0)mm,睑裂倾斜度平均(12°±2°).行额肌瓣悬吊术联合Y-V成形术术后复发7.5％(6/80),未复发92.5％(74/80),并发症5.0％(4/80);行上睑提肌缩短术联合Y-V成形术术后复发8.0％(2/25),未复发92.0％(23/25),并发症4.0％(1/25).结论 联合手术治疗先天性上睑下垂伴有内眦赘皮,不仅能明显减少了术后复发率及不良并发症,还在最大程度上满足患者对美的追求.
目的 探討上瞼下垂矯正術聯閤內眥贅皮矯正術治療先天性上瞼下垂伴有內眥贅皮的臨床效果.方法 對先天性上瞼下垂伴內眥贅皮的患者80例105隻眼進行手術治療,上瞼提肌肌力小于4 mm 64例(80隻眼)採用額肌瓣懸弔術聯閤Y-V成形術,上瞼提肌肌力大于4 mm 16例(25隻眼)採用上瞼提肌縮短術聯閤Y-V成形術.評價術後瞼裂長度、內眥寬度、瞼裂高度、瞼裂傾斜度、複髮率及併髮癥.結果 瞼裂長度平均增加(2.0±1.0) mm,內眥寬度平均縮小(4.0±2.0) mm,平均瞼裂高度(9.0土1.0)mm,瞼裂傾斜度平均(12°±2°).行額肌瓣懸弔術聯閤Y-V成形術術後複髮7.5％(6/80),未複髮92.5％(74/80),併髮癥5.0％(4/80);行上瞼提肌縮短術聯閤Y-V成形術術後複髮8.0％(2/25),未複髮92.0％(23/25),併髮癥4.0％(1/25).結論 聯閤手術治療先天性上瞼下垂伴有內眥贅皮,不僅能明顯減少瞭術後複髮率及不良併髮癥,還在最大程度上滿足患者對美的追求.
목적 탐토상검하수교정술연합내자췌피교정술치료선천성상검하수반유내자췌피적림상효과.방법 대선천성상검하수반내자췌피적환자80례105지안진행수술치료,상검제기기력소우4 mm 64례(80지안)채용액기판현조술연합Y-V성형술,상검제기기력대우4 mm 16례(25지안)채용상검제기축단술연합Y-V성형술.평개술후검렬장도、내자관도、검렬고도、검렬경사도、복발솔급병발증.결과 검렬장도평균증가(2.0±1.0) mm,내자관도평균축소(4.0±2.0) mm,평균검렬고도(9.0토1.0)mm,검렬경사도평균(12°±2°).행액기판현조술연합Y-V성형술술후복발7.5％(6/80),미복발92.5％(74/80),병발증5.0％(4/80);행상검제기축단술연합Y-V성형술술후복발8.0％(2/25),미복발92.0％(23/25),병발증4.0％(1/25).결론 연합수술치료선천성상검하수반유내자췌피,불부능명현감소료술후복발솔급불량병발증,환재최대정도상만족환자대미적추구.
Objective To observe the effects of combined surgeries for the correction of congenital ptosis accompanied by epicanthus.Methods 80 cases (105 eyes) of congenital ptosis were analyzed in this study.64 cases (80 eyes),with levator muscle strength more than 4 mm,were treated with suspension of frontal aponeurosis,and 16 cases (25 eyes),with levator muscle strength less than 4 mm,were treated with shorten operation of levator palpebrae superioris.Furthermore,all these patients were corrected the epicanthus at the same time.Results Except the under correction in 5 cases (8 eyes),the remaining patients were corrected satisfactorily.Postoperative palperbal fissure length was averagely increased by 2.0± 1.0 mm,inner canthic diameter was averagely decreased by 4.0± 2.0 mm,the eyelid height was increased by average 9.0±1.0 mm,the inclination of palpebral fissure was 12.0°±2.0°;64 cases (80 eyes) were treated with suspension of frontal aponeurosis,postoperative recurrence were 7.5％ (6/80),no postoperative recurrence were 92.5％ (74/80),complication were 5.0％ (4/80);16 cases (25 eyes) were treated with shorten operation of levator palpebrae superioris,postoperative recurrence were 8.0％ (2/25),and no postoperative recurrence were 8.0％ (2/25);complication rates were 4.0％ (1/25).Conclusions This procedure of combined surgeries can reduce the recurrence rate effectively.Moreover,the satisfactory,functional,and aesthetic results can be obtained simultaneously with this method.
