上睑提肌缩短术在重度上睑下垂治疗中的疗效观察  

Curative effect of shortening of musculus levator palpebrae superioris on severe congenital ptosis

作　　者：崔永言[1] 朱辉[1] 郑海霞[2] 龙云[1] 

机构地区：[1]北京大学深圳医院整形外科,广东深圳518036 [2]北京大学深圳医院体检科,广东深圳518036

出　　处：《中国美容整形外科杂志》2015年第5期273-275,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨上睑提肌缩短术在治疗重度上睑下垂中的疗效.方法 对15例重度上睑下垂患者采用低位重睑切口,向上游离上睑提肌腱膜到节制韧带,剪断上睑提肌内外侧脚及两侧节制韧带,缩短上睑提肌进行治疗.结果 本组患者术后均随访6个月,眼睑高度基本正常,弧度自然,无睑缘内外翻、结膜脱垂及暴露性角膜炎等并发症,效果满意.结论 采用上睑提肌缩短术,对提上睑肌肌力为2～4mm重度上睑下垂患者进行治疗,效果良好,可减少传统的额肌瓣常出现的并发症,值得临床推广应用.Objective To explore the curative effect of shortening of musculus levator palpebrae superioris on severe congenital ptosis. Methods Through the low double eyelid incision, 15 cases with severe congenital ptosis were treated by freeing upward aponeurosis of levator palpebrae superioris muscle to moderate ligament, cutting off inside and outside foot of it and two sides of moderate ligament to shorten levator palpebrae superioris muscle. Results After 6 months following up, all were satisfied with the natural curvature of the eyelid and without any postoperative complications, like entropion and ectropion of palpebral margin, conjunctiva prolapse and exposure keratitis. Condusion The effect of shortening of musculus levator palpebrae superioris on the treatment of severe congenital ptosis （2 ~ 4 mm myodynamia） is satisfactory with the advantage of reducing com- plications of traditional frotalis muscle surgery. It is deserving clinic application.

关 键 词：重度上睑下垂 提上睑肌缩短术 额肌瓣 

分 类 号：R622[医药卫生—整形外科]