改良提上睑肌延长术治疗甲状腺相关眼病引起的上睑退缩

发布时间：2018-05-25 22:13

本文选题：甲状腺相关眼病 + 上睑退缩　；参考：《上海交通大学学报(医学版)》2017年06期

【摘要】：目的·研究旨在改进上睑退缩的手术方式,提高临床疗效。方法·选取2013年7月至2014年12月在上海交通大学医学院附属第九人民医院眼科就诊的甲状腺相关眼病引起的上睑退缩2~5 mm的患者,应用改良的提上睑肌延长术进行矫治,观察术后眼部不适和外观的改善情况。结果·共计34例(43眼)上睑退缩患者接受了改良的提上睑肌延长术,其中男性7例,女性27例。术后6个月,25例患者上睑退缩完全矫正,9例患者明显改善;患者睑裂高度平均下降3.7 mm(P=0.000),眼睑闭合不全、眼部不适、畏光流泪等症状均获得治愈或改善。结论·改良的提上睑肌延长术能够有效矫正上睑退缩,改善患者外观和治疗患者眼部不适。
[Abstract]:Objective to improve the operative method of upper eyelid retraction and improve the clinical effect. Methods from July 2013 to December 2014, patients with upper eyelid retraction caused by thyroid associated ophthalmopathy in the Ninth people's Hospital affiliated to the School of Medicine of Shanghai Jiaotong University were treated with modified levator palpebral muscle lengthening. To observe the improvement of ocular discomfort and appearance after operation. Results A total of 34 cases (43 eyes) of upper eyelid retraction were treated with modified levator palpebral muscle lengthening, including 7 males and 27 females. Six months after operation, 25 patients with complete correction of upper eyelid retraction and 9 patients with palpebral fissure height decreased by 3.7 mm P0. 000, eyelid incompetence, ocular discomfort and photophobia were all cured or improved. Conclusion modified levator palpebral muscle lengthening can effectively correct the upper eyelid retraction, improve the appearance of the patients and treat the ocular discomfort of the patients.
【作者单位】：上海交通大学医学院附属第九人民医院眼科;
【基金】：国家自然科学基金(81300799) 上海市基础研究重点项目(12JC1403800) 上海市教育委员会高峰高原学科建设计划(20152228) 上海高校青年教师培养资助计划(ZZjdyx13122)~~
【分类号】：R581;R779.6

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