联合筋膜鞘悬吊术治疗提上睑肌缩短术后复发中重度上睑下垂

发布时间：2018-01-20 23:19

本文关键词： 上睑下垂复发性提上睑肌缩短术联合筋膜鞘悬吊术　出处：《中国医疗美容》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨提上睑肌缩短术治疗上睑下垂手术失败后,利用联合筋膜鞘悬吊再次手术矫正的效果。方法 2008年12月-2014年12月6年间,利用该技术治疗提上睑肌缩短术后复发中重度上睑下垂225例346只眼,单侧104例,双侧121例,在局部麻醉下将睑板缝合悬吊到位于结膜上穹窿的上直肌与提上睑肌之间的联合筋膜鞘上,可以有效地提高上眼睑的高度,术后切口均一期愈合。结果随访1年到3年,其中满意273只眼,占79%,改善63只眼,占18%,无效10只眼,占3%。对10只无效眼及63只改善眼做了二次调整,调整时间最短为术后3周,最长为术后6个月,调整后除6只眼为改善,其余均达到满意标准。双睑睑裂对称,重睑弧度自然,无睑裂闭合不全加重。结论应用结膜上穹窿联合筋膜鞘悬吊技术治疗提上睑肌缩短术后复发性中重度上睑下垂,既能有效地提高上眼睑高度,又能获得很好的美容效果。
[Abstract]:Objective to improve the failure on the eyelid muscle shortening treatment of ptosis after operation, the effect of correction using joint fascial sheath suspension surgery again. Methods from December 2008 -2014 year in December 6 years, the recurrence using this technique for the treatment of levator shortening postoperative ptosis in 225 eyes of 346 cases, 104 cases were unilateral, bilateral 121 cases under local anesthesia, the tarsal plate suture suspension in the conjunctiva fornix of superior rectus muscle and upper eyelid muscle joint provided between the fascial sheath, can effectively improve the height of the upper eyelid, incision healed after operation. Results the patients were followed up for 1 to 3 years, among them with 273 eyes, accounting for 79%, improved 63 eyes, accounted for 18%, invalid 10 eyes, accounting for 3%. of 10 eyes and 63 eyes improved invalid made two adjustments, adjusted for the shortest time after 3 weeks, the longest was 6 months after surgery, after adjustment for the rest except 6 eyes improved, achieved satisfactory standard. Double eyelid fissure symmetric double eyelid Conclusion: the application of conjunctival fornix combined with fascial sheath suspension for the treatment of recurrent moderate and severe ptosis after shortening the levator palpebrae superioris can effectively improve the upper eyelid height and achieve good cosmetic results.

【作者单位】：北京来美安医疗美容诊所;
【分类号】：R779.6;R62
【正文快照】： 先天性上睑下垂是一类较为常见的眼科疾病,临床对于轻中度和一部分重度上睑下垂患者采用提上睑肌缩短术给予手术矫正,手术后复发也是这种术式临床上较为常见的并发症之一。对于此类复发性的上睑下垂患者,如何选择手术方式再次矫正是一个较为棘手的问题,我们从2008年开始运用联

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