改良提上睑肌缩短术显微手术治疗先天性上睑下垂的疗效  

Modified Levator Palpebrae Superioris Muscle Recession under Microscope for Congenital Ptosis

作　　者：黄金荣[1] 俞益丰[1] 周文天[1] 

机构地区：[1]南昌大学第二附属医院眼科,南昌330006

出　　处：《南昌大学学报（医学版）》2012年第9期49-51,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的观察在显微镜下行改良提上睑肌缩短术治疗先天性上睑下垂的临床效果。方法采用显微镜下用显微器械行提上睑肌腱膜复合瓣与缩短的提上睑肌腱膜吻合术矫正54例66眼先天性上睑下垂,观察术后局部反应及矫正效果。结果随访观察6个月～2年,手术结果判定为Ⅰ级(良好)59眼,Ⅱ级(尚好)7眼,手术后眼睑水肿、结膜充血轻微,无穹窿结膜撕裂、脱垂、睑内外翻及闭合不全者。结论显微镜下改良提上睑肌缩短术解剖层次清晰,分离组织彻底,损伤轻微,使手术操作更精确,缩短手术时间,术后反应轻。Objective To investigate the clinical effect of modified levator palpcbrae superioris muscle recession under microscope on congenital ptosis. Methods Levator aponeurosis composite flap and shortened levator aponeurosis anastomosis was performed in 54 patients with congenital ptosis （66 eyes）. Postoperative local reaction and correction effect were observed. Results Pa- tients were followed-up for 6 months-2 years. Of the 66 eyes,surgical results were good （grade I） in 59 and fair （grade II） in 7,with mild eyelid edema and conjunctival hyperemia. No patients had fornix conjunctival tear,prolapse,ectropion and palpebral dysraphism. Conclusion The modified levator palpebrae superioris muscle recession under microscope has advantages of clear anatomical levels, complete tissue isolation, mild damage, accurate surgical operation, shorter operative time and postoperative response.

关 键 词：改良提上睑肌缩短术 显微手术 先天性上睑下垂 

分 类 号：R777.1[医药卫生—眼科]