连续缝合额肌筋膜瓣悬吊术治疗中、重度上睑下垂疗效分析  

Clinical Analysis of Frontalis Muscle Suspension with Continuous Suturing in Moderate and Severe Blepharoptosis Correction

作　　者：喻小龙[1] 谭钢[1] 邵毅[2] 刘二华[1] 

机构地区：[1]南华大学附属第一医院眼科,湖南衡阳421001 [2]南昌大学第一附属医院眼科

出　　处：《中南医学科学杂志》2013年第5期468-470,485,共4页Medical Science Journal of Central South China

基　　金：国家自然科学基金(81100648);湖南省科技计划项目(2010FJ4135);衡阳市科学技术局科技计划项目(2012KJ48)

摘　　要：目的观察连续缝合额肌筋膜瓣悬吊术矫治中、重度上睑下垂的治疗效果。方法36例（42眼）中、重度上睑下垂患者分为连续缝合额肌筋膜瓣悬吊术组（连续缝合术组）和三线式缝合额肌筋膜瓣悬吊术组（三线式缝合术组），对比两组手术效果。结果随访6～24月，连续缝合术组完美率显著高于三线式缝合术组（P〈0．05）。但两组有效率相比较差异无显著性（P〉0．05）。结论连续缝合额肌筋膜瓣悬吊术具有矫治效果好、术后重睑形成自然关观等优点，是中、重度上睑下垂理想的手术方式。Objective To observate the effect of frontalis muscle suspension with continuous suturing in severe blepharoptosis correction. Methods Thirty-six cases （42 eyes） of moderate and severe blepharoptosis patients were ran- domly divided into frontalis muscle suspension with continuous suturing group and frontalis muscle suspension with three wire suture group. Operation effect was compared between the two groups. Results The follow-up time was 6 - 24 months. The rate of satisfaction in frontalis muscle suspension with continuous suturing group was significantly higher than that in frontalis muscle suspension with three wire suture group （ P 〈 0.05 ）. But there were no significant difference about the rate of satisfaction between the two groups （ P 〉 0.05 ）. Conclusions The frontalis muscle suspension with continu- ous suturing is ideal modus operandi, which has the advantages of good treatment effect, postoperative eyelid forming and natural beauty.

关 键 词：上睑下垂 上睑提肌 额肌 整形 

分 类 号：R779.62[医药卫生—眼科]