Check韧带悬吊法治疗重度先天性上睑下垂  

Suspension of Check ligament for the treatment of congenital severe blepharoptosis

作　　者：魏星[1] 杨丽[1] 刘月丽[1] 刘平平[1] 

机构地区：[1]郑州大学第二附属医院医疗美容科,450014

出　　处：《中华整形外科杂志》2016年第6期410-413,共4页Chinese Journal of Plastic Surgery

基　　金：河南省医学科技攻关计划项目（201503098）

摘　　要：目的 探讨Check韧带悬吊法治疗重度先天性上睑下垂的临床效果.方法 2015年1月至2016年1月,对28例重度先天性上睑下垂患者采用悬吊Check韧带至睑板以提升眼睑的方法进行矫治,分析术后上睑下垂矫正效果、上睑弧度、术后并发症的发生情况.结果 随访观察3-12个月,术后24例正矫,4例轻度欠矫.24例患者手术效果良好,睑裂对称,上睑弧度自然,术后6个月内19例患者眼睑能自然闭合,所有患者均未发生暴露性角膜炎等严重并发症.4例欠矫患者中,2例改善明显,未再处理,另2例6个月后再次行手术矫治,效果满意.结论 Check韧带悬吊法治疗重度先天性上睑下垂,更符合眼睑生理结构,手术效果满意.Objective To investigate the therapeutic effect of Check ligament suspension for congenital severe blepharoptosis.Methods From Jan.2015 to Jan.2016,28 cases with severe congenital ptosis were treated by suspension of Check ligament to tarsus.The postoperative effect,curve of upper eyelid and complication were recorded.Results All the patients were followed up for 3-12 months.Complete correction was achieved in 24 cases,while undercorrection in 4 cases.Among the 24 cases with good results,they had symmetric palpebral fissure and natural curve of upper eyelid.Eye closure function recovered within 6 months in 19 cases.No complication,like corneal exposure,happened.Among the 4 cases with undercorrection result,2 underwent no further treatment due to marked improvement,2 underwent re-operation 6 months after the first operation with good result.Conclusions Suspension can successfully correct severe congenital blepharoptosis with natural recovery of eyelid structure.

关 键 词：先天性上睑下垂 Check韧带 动力悬吊 

分 类 号：R779.6[医药卫生—眼科] R62[医药卫生—临床医学]