上睑下垂手术矫正不足者再手术的方法探讨  

The retreatment of less rectified ptosis after operation.

作　　者：张建华[1] 马杰[2] 李丹[2] 陈春瑞[2] 

机构地区：[1]河南大学第一附属医院眼科,河南开封475001 [2]河南大学第一附属医院整形外科,河南开封475001

出　　处：《眼外伤职业眼病杂志》2008年第3期203-205,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨上睑下垂手术矫正不足者冉手术的方法。方法本组24例29眼，男14例，女10例；年龄14～35岁（平均20．7岁）。均因“先天性上睑下垂”而进行过手术治疗，术后遗留有轻、中度上睑下垂，提上睑功能尚好。这些患者冉次手术行睑板结膜部分切除术加以矫正。两次手术间隔6月～20年。结果术后随访6月～3年，本组24例（29H艮）上睑下垂均矫正满意或基本满意：早期均有不同程度的睑裂闭合不全情况，但于术后3～5月内完全消失，无其它并发症发生。结论对上睑下垂手术矫正不足者，术后半年以后，对提上睑功能尚好的轻、中度上睑下垂患者，可选择睑板结膜部分切除术，此手术操作简单，并发症少，而且疗效确切。Objective To investigate the retreatment of less rectified ptosis after operation. Methods 29 eyes of 24 cases with less rectified ptosis after operation, including 14 males, 17 females, aging from 14 to 35 with the average of 20.7. All the cases were treated by the surgery for＂ Congenital ptosis＂ at first. As a retreatment, tarsal eonjunetiva partial excision was then performed to the mild and medium cases with better lifting upper eyelid function after the first surgery from 6 months to as long as 20 years. Results Follow up was made from 6 months to 3 years after tarsal conjunetiva partial excision. Among all the cases, 29 eyes of 24 ptosis were rectified with full or fundamental satisfaction. In the early stage different degrees of palpebral fissure dysraphism were found which normally disappeared completely in 3 to 5 months after the operation with no other complieatlons. Conclusions As for the mild and medium ptosis cases who were less rectified after operation, longer than 6 months, with good lifting upper eyelid function it is ideal to choose the surgery of tarsal conjunctiva partial excision because of its merits such as easy procedures, few complications and certain curative effect.

关 键 词：上睑下垂 手术 矫正不足 睑板结膜部分切除 

分 类 号：R779.6[医药卫生—眼科]