差异性重睑成形术对睑裂不对称单睑的临床疗效

发布时间：2018-11-08 10:38

【摘要】：目的探讨睑裂不对称单睑的重睑成形术手术方法。方法 26例睑裂不对称的重睑手术者,术前坐位平视自然睁眼状态下双眼睑裂宽度相差1.0~2.0(1.42±0.20)mm。按照测量数据将26例患者分为3种类型:(1)上睑皮肤松垂量不等型;(2)睑裂宽度不等型;(3)上睑皮肤松垂量不等合并睑裂宽度不等型。根据患者双眼睑部特点,采用差量去除睑缘松垂皮肤、提上睑肌前徙术或两种手术方法并用的方案,行重睑成形术进行矫正。术后6~12个月随访时测量双眼睑裂宽度差值,记录末次差值,对数据行配对样本t检验。结果术后7例患者出现行提上睑肌前徙术侧轻度睑裂闭合不全情况,予以红霉素眼膏治疗,未出现暴露性角膜炎等并发症,于术后1周到1个月闭合。随访6~12个月,9例单纯行差量去皮重睑术的患者,术后2例半年后复发。其余患者重睑线条流畅,双眼睑裂无明显不对称,不对称睑裂未见复发。末次随访时双眼睑裂宽度相差0.1~0.5(0.21±0.08)mm,与术前比较,差值明显缩小(t=38.912,P0.01)。结论差量去皮或合并提上睑肌前徙术的重睑成形术,对睑裂不对称单睑矫正效果良好。
[Abstract]:Objective to investigate the double blepharoplasty of asymmetric single eyelid with palpebral fissure. Methods 26 cases of double eyelid operation with asymmetric palpebral fissure were performed. The difference in the width of eyelid fissure between the two eyes was 1.0 and 2.0 (1. 42 卤0. 20) mm.. According to the measured data, 26 patients were divided into three types: (1) the upper eyelid skin sagging unequal type; (2) the eyelid fissure width unequal type; (3) the upper eyelid skin sagging volume unequal combined with eyelid fissure width unequal type. According to the characteristics of double eyelids, double eyelid plasty was carried out by using the method of removing palpebral margin loose skin, levator palpebral muscle recession or two kinds of operation methods. The difference of eyelid fissure width was measured and the last difference was recorded at the follow-up of 6 ~ 12 months after operation. Results there were 7 patients with mild eyelid fissure closure after levator palpebral muscle recession. Erythromycin ophthalmic ointment was given without any complications such as exposed keratitis, which was closed 1 week to 1 month after operation. Follow up for 6 ~ 12 months, 9 cases of simple differential volume removal of heavy eyelid operation, 2 cases of recurrence half a year after operation. The other patients had smooth double eyelid lines, no obvious asymmetry of eyelid fissure, and no recurrence of asymmetric eyelid fissure. At the last follow-up, the difference in the width of eyelid fissure was 0. 1 卤0. 5 (0. 21 卤0. 08) mm, compared with that before operation. The difference was significantly reduced (t = 38. 912, P 0. 01). Conclusion double blepharoplasty with differential exfoliation or combined with levator blepharoplasty has a good effect on the correction of asymmetrical eyelid cleft eyelid.
【作者单位】：深圳市南山区人民医院烧伤整形科;
【分类号】：R622;R779.6

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