术中提上睑肌肌张力评估后单纯提上睑肌缩短术的临床疗效观察  

The treatment of simple shortening of levator palpebrae superioris muscle with authentic power of levator muscle in treating severe congenital blepharoptosis

作　　者：王鸿[1] 王冰[1] 王利华[1] 

机构地区：[1]山东大学附属省立医院眼科,济南250021

出　　处：《中国斜视与小儿眼科杂志》2011年第1期23-24,I0001,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨根据术中对提上睑肌肌张力评估采取的单纯提上睑肌缩短术对儿童重症先天性上睑下垂的疗效方法对169例(216只眼)重症先天性上睑下垂患儿,根据术中实际提上睑肌肌张力的评估,设计手术方式及手术量,其中143例(182只眼)行单纯提上睑肌缩短术,结果169例(216只眼)术后6个月至2年随访,上睑缘位置均在瞳孔以上,平视时睑裂6～9mm,上睑缘弧度及双重睑形成良好。结论根据术中对患儿实际提上睑肌肌张力的评估,可选择最佳手术方式及手术量,对术前检查提上睑肌无肌力的患儿实行单纯提上睑肌缩短术,可减少手术创伤,有效改善病变,保留最佳生理解剖结构。Objective To obtain the treatment of the shortening of levator palpebrae superioris muscle with authentic power of levator muscle in severe congenital ptosis.Methods Measure and estimate the Authentic power of levator muscle of 169 children（216 eyes）with severe congenital ptosis and treat 143 children（182 eyes） of them with simple Shortening of levator palpebrae superioris muscle.Results The postoperative lid fissure on straight gaze in 216 eyes were over 6mm（6～9mm） and the position of the superior eyelid margin were over pupil area.The eyelid radian and an upper lid fold were good.Conclusions Children measured no power of levator muscle in severe congenital ptosis could be operated with simple Shortening of levator palpebrae superioris muscle.This procedure could be effective,less-injured and keep the most physiologic construction.

关 键 词：先天性上睑下垂 提上睑肌肌力 提上睑肌缩短术 

分 类 号：R779.6[医药卫生—眼科]