上睑提肌缩短联合部分睑板切除矫正中、重度上睑下垂

发布时间：2018-08-31 14:04

【摘要】：目的：探讨上睑提肌缩短联合部分睑板切除矫正中、重度上睑下垂的方法和疗效。资料和方法：对13例（2012年7月～2014年2月）（17只眼）中、重度上睑下垂患者行上睑提肌缩短联合部分睑板切除。其中男性4例，女性9例；单侧9例，双侧4例。年龄4～76岁，平均年龄22岁。术后随访3～12个月（平均6个月），，采用以下指标进行检查、评价及分析手术疗效：⑴上睑缘的位置⑵上睑缘弧度⑶上睑缘高度对称度⑷眼睑闭合程度⑸双重睑皱璧⑹上睑迟落现象⑺额肌活动度⑻患者满意度⑼暴露性角膜炎。结果：本组13例（17只眼）中、重度上睑下垂均矫正满意（外观满意，弧度自然）。早期均有不同程度的眼睑闭合不全的情况，一般术后3～6个月内完全恢复。除1例（1只眼）在用力状态下无法完全闭合外，大部分眼睑能自然闭合。其中1例因术后复发，重睑皱璧变浅、消失，其余均明显。有2例（2只眼）过矫，有1例（1只眼）可以观察到明显的上睑迟滞现象，余均获得良好效果。均未出现暴露性角膜炎，且上睑缘弧度均基本满意。结论：上睑提肌缩短联合部分睑板切除术，此手术操作简单，并发症少、疗效确切。能达到既符合眼睑生理功能，又改善美观的效果，是治疗该疾病的比较满意术式。
[Abstract]:Objective: to investigate the method and effect of shortening levator palpebrae combined with partial blepharoplasty for correction of moderate and severe blepharoptosis. Materials and methods: 13 cases (July 2012 to February 2014) (17 eyes) with severe blepharoptosis were treated with levator palpebrae shortening combined with partial tarsal plate resection. Among them, 4 cases were male, 9 cases were female, 9 cases were unilateral and 4 cases were bilateral. The average age was 22 years. The patients were followed up for 3 to 12 months (mean 6 months). To evaluate and analyze the effect of operation on the position of upper palpebral margin: 2 upper eyelid margin radians 3 upper eyelid edge height symmetry 4 eyelid closure degree 5 double eyelid fold 6 palpebral tardiness 7 frontalis movement degree 8 patient satisfaction with 9 exposed keratitis. Results: in 13 cases (17 eyes), the correction of severe blepharoptosis was satisfactory (satisfactory appearance and natural radians). There were different degree of eyelid incompetence in early stage, which generally recovered within 3 ~ 6 months after operation. Most eyelids could be closed naturally except in one case (1 eye) which could not be closed completely under the condition of force. In one case, the double eyelid wrinkle became shallow and disappeared because of postoperative recurrence, and the others were obvious. Two cases (2 eyes) were overcorrected and 1 case (1 eye) could observe obvious hysteretic phenomenon of upper eyelid. No exposed keratitis was found, and the upper eyelid margin radians were satisfactory. Conclusion: levator palpebrae shortening combined with partial blepharoidectomy is simple, less complication and effective. It can not only accord with the physiological function of eyelid, but also improve the aesthetic effect.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R779.6

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