综合性方法治疗轻度先天性上睑下垂29例临床观察

发布时间：2018-09-13 14:26

【摘要】：目的:探讨治疗轻度先天性上睑下垂的综合方法。方法:轻度先天性上睑下垂患者采用离断眶隔脂肪与睑板上缘附近的上睑提肌腱膜存在的增厚的纤维条索,离断纤维条索后可矫正大部分的轻度上睑下垂,如果离断纤维条索后无法完全矫正上睑下垂,再行上睑提肌腱膜前徙缩短术矫正。结果:本组21例行单纯离断增厚的纤维条索术,19例术后上睑下垂症状完全消失,活动自如,外观自然,左右对称;2例术后上睑下垂症状未完全矫正,抬眼得到改善;随访1个月~1年,无复发。8例行离断增厚的纤维条索术+上睑提肌腱膜前徙缩短术,8例术后上睑下垂症状完全消失,活动自如,外观自然,左右对称,随访1个月至1年,无复发。结论:采用离断眶隔脂肪与睑板上缘附近的上睑提肌腱膜存在的增厚的纤维条索和/或上睑提肌腱膜前徙缩短术是可行的方法,并取得满意的效果。
[Abstract]:Objective: to explore a comprehensive method for the treatment of mild congenital ptosis. Methods: the patients with mild congenital ptosis were treated with thickened fibrous cord which existed in the upper eyelid levator tendon membrane near the upper margin of the upper eyelid levator muscle, and most of the mild ptosis could be corrected. If the blepharoptosis can not be completely corrected after the broken fiber cord, the levator palpebrae tendonitis is corrected again. Results: in 21 cases, the symptom of blepharoptosis disappeared completely, the movement was free and the appearance was natural in 19 cases. 2 cases of left and right symmetrical blepharoptosis were not completely corrected and the lifting of eyes was improved. Follow-up for 1 month to 1 year showed that no recurrence occurred in 8 cases of blepharolevator tendinosus prolapse and shortening. The symptoms of blepharoptosis disappeared completely, the movement was free, the appearance was natural, and the left and right were symmetrical. The follow-up period was 1 month to 1 year. No recurrence. Conclusion: it is feasible to use the thickened fibrous cord and / or shortening of the upper eyelid levator tendon membrane which is located near the upper margin of the upper eyelid levator muscle and the orbital septum fat is feasible and satisfactory results have been obtained.
【作者单位】：厦门市妇幼保健院医疗美容科;
【分类号】：R779.6;R622

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