中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
Chinese Journal of Practical Ophthalmology
2015年
8期
927-929
,共3页
上睑下垂%微创%内眦赘皮%矫正术
上瞼下垂%微創%內眥贅皮%矯正術
상검하수%미창%내자췌피%교정술
Ptosis%Epicanthus%Diorthosis
目的 探讨对伴有内眦赘皮的先天性上睑下垂患者行上睑下垂矫正术的同时,在显微镜下联合内眦赘皮矫正术的疗效.方法 对1998～2013年在施行的上睑下垂矫正术同时矫正内眦赘皮的病例56例.其中提上睑肌缩短术联合内眦赘皮矫正术25例,额肌悬吊术联合内眦赘皮矫正术31例.用改良新月形去皮法矫正眉部型内眦赘皮;皮肤-肌肉双层成形术法矫正眦距不远者的睑部型、睑板型内眦赘皮;Y-V成形术法合并内眦韧带折叠或缩短术矫正眦距过远者睑部型、睑板型内眦赘皮;用L形皮肤切除法矫正倒向型内眦赘皮;不同类型的内眦赘皮应用不同的手术方法在显微镜下用显微器械联合微创内眦赘皮矫正术.结果 56例术后均Ⅰ期愈合,内眦角显露,内眦赘皮消失,上睑下垂矫正.结论 对伴有内眦赘皮的先天性上睑下垂患者,行上睑下垂矫正术的同时联合内眦赘皮矫正术,手术效果确切,避免了患者再次手术的痛苦,值得推广应用.
目的 探討對伴有內眥贅皮的先天性上瞼下垂患者行上瞼下垂矯正術的同時,在顯微鏡下聯閤內眥贅皮矯正術的療效.方法 對1998～2013年在施行的上瞼下垂矯正術同時矯正內眥贅皮的病例56例.其中提上瞼肌縮短術聯閤內眥贅皮矯正術25例,額肌懸弔術聯閤內眥贅皮矯正術31例.用改良新月形去皮法矯正眉部型內眥贅皮;皮膚-肌肉雙層成形術法矯正眥距不遠者的瞼部型、瞼闆型內眥贅皮;Y-V成形術法閤併內眥韌帶摺疊或縮短術矯正眥距過遠者瞼部型、瞼闆型內眥贅皮;用L形皮膚切除法矯正倒嚮型內眥贅皮;不同類型的內眥贅皮應用不同的手術方法在顯微鏡下用顯微器械聯閤微創內眥贅皮矯正術.結果 56例術後均Ⅰ期愈閤,內眥角顯露,內眥贅皮消失,上瞼下垂矯正.結論 對伴有內眥贅皮的先天性上瞼下垂患者,行上瞼下垂矯正術的同時聯閤內眥贅皮矯正術,手術效果確切,避免瞭患者再次手術的痛苦,值得推廣應用.
목적 탐토대반유내자췌피적선천성상검하수환자행상검하수교정술적동시,재현미경하연합내자췌피교정술적료효.방법 대1998～2013년재시행적상검하수교정술동시교정내자췌피적병례56례.기중제상검기축단술연합내자췌피교정술25례,액기현조술연합내자췌피교정술31례.용개량신월형거피법교정미부형내자췌피;피부-기육쌍층성형술법교정자거불원자적검부형、검판형내자췌피;Y-V성형술법합병내자인대절첩혹축단술교정자거과원자검부형、검판형내자췌피;용L형피부절제법교정도향형내자췌피;불동류형적내자췌피응용불동적수술방법재현미경하용현미기계연합미창내자췌피교정술.결과 56례술후균Ⅰ기유합,내자각현로,내자췌피소실,상검하수교정.결론 대반유내자췌피적선천성상검하수환자,행상검하수교정술적동시연합내자췌피교정술,수술효과학절,피면료환자재차수술적통고,치득추엄응용.
Objective To investigate the effect of congenital ptosis diorthosis combined with simultaneous epicanthus diorthosis under microscope.Methods Fifty-six patients who performed congenital ptosis diorthosis combined with simultaneous epicanthus diorthosis were included in this study.This study included 25 cases of eyelid muscle shortening surgery combined with angular flabby skin diorthosis and 31 cases of frontal muscle suspension surgery combined with flabby skin diorthosis of inner canthus.A modified crescent peeling method was used for brow type epicanthus;skin-muscles double keratoplasty method was used for the epicanthus that was not far from the intercanthus angle;inner canthal ligament foldingas used for the epicanthus that was far from the intercanthus angle;and L-shaped skin excision was used to rectify backward type epicanthus.All surgery was performed under a microscope.Results All cases experienced postoperative Ⅰ healing with disappeared inner canthus epicanthus and ptosis.Conclusions Congenital ptosis diorthosis combined with minimally invasive epicanthus diorthosis can effectively treat ptosis and epicanthus simultaneously.This surgery strategy can avoid the patient pain caused by second operation,thus it is worthy of popularization and application.
