两种手术方式治疗先天性上睑下垂的疗效  

Effect on the treatment of congenital ptosis in two kinds of operation method

作　　者：蒋韵佳[1] 孙松[1] 朱婷婷[1] 

机构地区：[1]中国江苏省无锡市第二人民医院眼科南京医科大学附属无锡第二医院眼科,214002

出　　处：《国际眼科杂志》2014年第12期2274-2276,共3页International Eye Science

摘　　要：目的:探讨先天性上睑下垂两种不同手术方式的疗效。方法:根据手术方式分为四组:行双眼额肌筋膜瓣悬吊术组(A组,21例42眼),行双眼提上睑肌缩短术组(B组,19例38眼),行单眼额肌筋膜瓣悬吊术组(C组,24例24眼),行单眼提上睑肌缩短术组(D组,29例29眼)。随访观察各组患者术后的功能和外观疗效。结果:(1)术后早期两种手术方式功能成功率均达100%,术后晚期提上睑肌缩短术的功能成功率(97.01%)高于额肌筋膜瓣悬吊术(87.88%),两者差异具有统计学意义(P<0.05)。(2)术后早期两种手术方式的外观疗效差异无统计学意义(P>0.05);术后晚期,B组"眼睑弧度"、"双重睑"两项外观疗效指标优于A组(P<0.01);D组"眼睑弧度"、"眼睑高度对称"、"双重睑"三项外观疗效指标优于C组(P<0.01)。结论:两种手术方式治疗先天性上睑下垂均具有较好的疗效;在外观疗效上提上睑肌缩短术更有优势。AlM：To compare the functional and cosmetic effects of two different surgical techniques for congenital ptosis. METHODS： The patients were divided into four groups according to the operation method： Patients undertook bilateral fascial suspension surgery as Group A （ 42 eyes of 21 cases ）; Patients undertook bilateral levator muscle shortening surgery as Group B （ 38 eyes of 19 cases ）;Patients undertook unilateral fascial suspension surgery as Group C （ 24 eyes of 24 cases ）; Patients undertook unilateral levator muscle shortening surgery as Group D （29 eyes of 29 cases）. Each group patients were followed for postoperative function and appearance effect. RESULTS： 1 ） Early postoperative of two operation function success rate was up to 100%, the function of levator muscle shortening surgery was 97. 01% in the late postoperative, was higher than bilateral fascial suspension surgery （87. 88%）, with statistical difference in both surgerys （P〈0. 05）. 2） Appearance effect of two kinds of operation method in early postoperative had no statistical difference （P 〉0. 05）; ln the late postoperative, the mean grades for “Lid Contour” and “Lid Crease” of Group B were better than that of Group A （P〈0. 01）. While the mean grades for “Lid Contour”, “Symmetry of Lid Height” and “Lid Crease” of Group D were similarly better than that of Group C （P〈0. 01）. CONCLUSlON： Two kinds of operation method have＆amp;nbsp;good effects on the treatment of congenital ptosis. ln terms of cosmetic effect, levator muscle shortening surgery is better.

关 键 词：上睑下垂 额肌筋膜瓣悬吊术 提上睑肌缩短术 

分 类 号：R779.6[医药卫生—眼科]