组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2019, Vol. 15 ›› Issue (6): 416-442.doi: 10.3969/j.issn.1673-0364.2019.06.010

• 论著 • 上一篇    下一篇

三种手术方式矫正中重度上睑下垂的疗效

章志扬，周雷，李威   

  1. 徐州医科大学附属徐州市立医院眼科
  • 收稿日期:2019-09-12 修回日期:2019-10-18 出版日期:2019-12-20 发布日期:2019-12-20

Effectiveness of Three Surgical Methods in the Treatment of Moderate and Severe Blepharoptosis

ZHANG Zhiyang,ZHOU Lei,LI Wei   

  1. Ophthalmology Department, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University
  • Received:2019-09-12 Revised:2019-10-18 Online:2019-12-20 Published:2019-12-20

摘要： 目的研究三种手术方式矫正中重度上睑下垂的疗效。方法选取2015年5月至2018年4月期间收治的90例(120眼)先天性中重度上睑下垂患者作为研究对象,按照随机分组原则,将患者随机分为A、B、C三组,A组患者采取额肌筋膜悬吊术治疗,B组患者采取传统提上睑肌缩短术治疗,C组患者采取联合筋膜鞘悬吊治疗。治疗6个月后,观察三组患者的治疗总有效率、正矫率、美容效果、手术指标及并发症之间的差异。结果 C组患者的治疗总有效率、正矫率均显著高于A、B两组(P0.05)。结论联合筋膜鞘悬吊治疗中重度上睑下垂,可有效提升睑裂高度,安全性好,治疗效果及美容效果显著。

关键词: 上睑下垂, 额肌筋膜悬吊, 提上睑肌缩短, 联合筋膜鞘悬吊

Abstract: Objective To explore the effect of three surgical methods for the treatment of moderate and severe ble-pharoptosis. Methods From May 2015 to April 2018, ninety patients(120 eyes) with congenital moderate and severe ble-pharoptosis were selected. According to the principle of random grouping, the patients were randomly divided into 3 groups:group A, B and C. Patients in group A were treated by frontal muscle fascia suspension, patients in group B were treated by traditional levator shortening, and patients in group C were treated with levator palpebrae muscle shortening and fascial sheath suspension. After 6 months of treatment, the differences of therapeutic effect, blepharoptosis correction rate, cosmetic effect, surgical indexes and complications were observed. Results The total effective rate and the correction rate of group C were both significantly higher than those of group A and group B(P0.05). Conclusion Combined with fascial sheath suspension in the treatment of moderate and severe ptosis, it can effectively improve the height of palpebral fissure with high safety and significant therapeutic and cosmetic effects.

Key words: Blepharoptosis, Frontal muscle fascia suspension, Levator shortening, Elevator palpebrae muscle shortening and fascial sheath suspension

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