改良提上睑肌缩短术  

Improvement of levator palpebrae superioris shortening

作　　者：黄亦平[1] 

机构地区：[1]扬州武警江苏总队医院眼科,225001

出　　处：《中国实用眼科杂志》2001年第4期312-313,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :在常规提上睑肌缩短术的基础上 ,研究探讨一种容易暴露寻找提上睑肌的手术方法。方法 :切开上睑皮肤 ,分离部分眼轮匝肌后横行切断睑板中分上方 15 mm宽的结膜前肌肉组织 ,于此肌肉组织两侧纵行向上剪开至眶隔 ,待脂肪外溢后 ,由脂肪溢出处伸入剪刀向另一侧分离 ,并剪断脂肪前组织 ,其后必定是提上睑肌腱膜。结果 :本组 12例 (17眼 ) ,术后效果满意 13眼 ,过矫 2眼 ,矫正不足 2眼。结论 :上睑下垂病人提上睑肌、眶隔发育往往不正常 ,部分病人眶隔位置较高 ,较难寻找和分离。此法便于剪开眶隔和暴露提上睑肌 ,使手术操作变得简单。Objective: To study a surgical method which can be used to find and expose lavator palpebrae superioris (LPS). Methods: A new way to find LPS. Results: In these 12 cases (17eyes), the clinical effects were satisfied in 13 eyes, 2 eyes were over correction, 2 eyes was lacking correction. Conclusion: It was easy to cut off orbital fascia and expose LPS by using this method, and this method made the operation more simple and convenient.

关 键 词：上睑下垂 提上睑肌缩短术 眶隔 术式 

分 类 号：R777.15[医药卫生—眼科]