提上睑肌缩短联合睑板部分切除术治疗中重度上睑下垂  

Apertor oculi shortening together with partial resection of ciliary cartilages for medium and severe ptosis

作　　者：蔡薇[1] 聂兰军[1] 宋辉[1] 李磊[1] 谢爱国[1] 沈干[1] 

机构地区：[1]南京医科大学第二附属医院烧伤整形科,南京医学硕士研究生210001

出　　处：《医学研究生学报》2013年第12期1292-1294,共3页Journal of Medical Postgraduates

摘　　要：目的治疗中重度上睑下垂以往多选择借助额肌力量手术,但易产生并发症,且多数患者对术后效果不满意。本研究探讨提上睑肌缩短联合上睑板部分切除术术治疗中、重度上睑下垂的方法及效果。方法 16例上睑下垂患者,根据上睑下垂程度,行睑板部分切除,并适量缩短提上睑肌。结果 16例患者上睑下垂均得到明显改善,外观满意,随访3个月至3年无明显并发症。结论提上睑肌缩短联合部分睑板切除术符合眼解剖和生理规律,效果良好,可作为矫正中重度上睑下垂的重要方法。Objective Frontal muscle flap suspension was commonly used in the treatment of medium and severe ptosis in the past, but it often led to complications as well as dissatisfaction of most patients. The present study was to investigate the effect of apertor oculi shortening combined with partial resection of ciliary cartilages in the treatment of medium and severe ptosis. Methods Sixteen ptosis patients underwent resection of ciliary cartilages along with apertor oculi shortening according to the degrees of ptosis. Results Ptosis was significantly improved in all the 16 patients, and all were satisfied with the appearance after surgery. The patients were followed up for 3 to 36 months, during which no complications were observed. Conclusion Apertor oculi shortening combined with partial resection of ciliary cartilages, conforming to the anatomy and physiology the eyes, is a feasible method for the treatment of medium and severe ptosis.

关 键 词：上睑下垂 睑板部分切除术 提上睑肌缩短 

分 类 号：R622.9[医药卫生—整形外科]