中重度上睑下垂的术式选择与应用  

The selection and application of surgical method for moderate and severe ptosis

作　　者：唐建兵[1] 李勤[1] 程飚[1] 柳大烈[2] 杨华[1] 陈葵[1] 

机构地区：[1]广州军区总医院整形外科,广东广州510010 [2]南方医科大学珠江医院整形外科

出　　处：《中国美容整形外科杂志》2010年第7期414-415,共2页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨中重度上睑下垂的手术治疗方法。方法对于中度上睑下垂采取提上睑肌缩短法矫正，对于重度上睑下垂采用额肌瓣悬吊法矫正。结果本组28例患者（36眼），24例患者（31眼）术后双侧基本对称，2例（3眼）轻度矫正不足及2例（2眼）轻度过矫（提上睑肌缩短术）者早期予以调整后形态满意。结论对于中度上睑下垂者，采取提上睑肌缩短术矫正，术后形态自然；而对于重度上睑下垂者，采取额肌瓣悬吊术可取得良好的疗效。Objective To investigate the surgical options for moderate and severe ptosis. Methods Levator resection was selected for the moderate ptosis and blepharoptosis frontalis suspension was used for severe ptosis. Restilts Thirty-six eyes of 28 patients were treated in this group, 24 cases （31 eyes） were satisfied with bilateral eyes symmetrical postoperatively, 3 eyes undercorreeted mildly of 2 patients and 2 eyes overcorrected mildly of 2 patients by levator resection were repaired and adjusted in the early stage postoperatively and satisfactory appearance were received. Conclusion For patients with moderate ptosis, levator resection could reach natural appearance postoperatively; while, for severe eases, the operation of frontalis suspension would be a better choice.

关 键 词：上睑下垂 提上睑肌 额肌 

分 类 号：R622[医药卫生—整形外科]