老年获得性上睑下垂术式及疗效观察  

Observation of surgical and therapeutic methods for senile acquired ptosis

作　　者：周柳红[1] 周世宏[1] 黄再林 程亚中 

机构地区：[1]湖北省黄梅县眼科医院眼科,435500

出　　处：《中国实用眼科杂志》2012年第2期187-189,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨病因和药物性治疗无效的老年获得性上睑下垂的手术方式,并对其效果进行评价.方法 对2007年3月至2010年3月间收治的56例（72只眼）老年获得性上睑下垂患者,进行个性化手术设计,其中,额肌瓣悬吊术8例（12只眼）,提上睑肌缩短联合睑板切除术13例（16只眼）,单纯提上睑肌缩短术30例（36只眼）,提上睑肌腱膜折叠术5例（8只眼）.结果 1只眼过矫,1只眼欠矫,3只眼回退,其余随访一年以上均疗效满意,外形美观,无并发症,满意率达93％.结论 依照老年获得性上睑下垂病因、年龄特点以及提上睑肌功能情况,合理选择手术方式,能达到安全、可靠、满意的矫正效果.Objective To explore the etiology and the surgical approach on those drug treatment failure elderly acquired ptosis,and to evaluate its effectiveness. Methods The 56 cases （72 eyes）of elderly acquired ptosis were treated from March 2007 to March 2010.The causes were analyzed and characteristic operation modes were designed according to the status of each individual patient.Of frontalis muscle flap suspension was performed on 8 cases （12 eyes）,superior levator muscle shortening united tarsal plate resection on 13 cases （16 eyes）,simple superior levator muscle shortening on 30 cases （36 eyes） and superior levator aponeurosis folding on 5 cases （8 eyes）. Results After the surgery,1 eye was overcorrected,1 eye undercorrected,3 eyes fallback,and all cases were properly corrected that followed-up for more than one year with good effect,beauty,and without complications.Satisfaction rate was 93%. Conclusions In accordance with the etiology,age and function of superior levator muscle of elderly acquired ptosis,choosing the reasonable and characteristic operation modes are able to achieve ideal,safety,and satisfied results.

关 键 词：获得性 上睑下垂 手术方式 

分 类 号：R777.1[医药卫生—眼科]