e-PTFE额肌悬吊术及额肌瓣悬吊术治疗儿童上睑下垂术后效果比较  

Comparison of effects between frontalis suspension with e-PTFE and frontal musle flap in pedaric congenital ptosis

作　　者：王媛[1] 樊云葳[1] 曹文红[1] 胡曼[1] 李程[1] 吴倩[1] 

机构地区：[1]首都医科大学附属北京儿童医院眼科,儿科学国家重点学科,100045

出　　处：《中国斜视与小儿眼科杂志》2016年第4期26-29,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的观察膨体聚四氟乙烯(e-PTFE)额肌悬吊术与额肌瓣悬吊术治疗先天性上睑下垂临床效果比较。方法回顾性分析比较了2012年9月至2014年9月就诊于我院58例先天性上睑下垂患儿,分别接受两种不同术式,在术后比较观察睑裂高度,眼表状态,眼睑闭合情况,术后美容效果及并发症。结果 e-PTFE额肌悬吊术组与额肌瓣悬吊术组相比,前者眼睑闭合时间明显短于后者,泪膜破裂时间长于后者,角膜点染评分前者明显低于后者。前者暴露性角膜炎,上睑内翻倒睫等并发症较少,其余美容及功能效果比较无统计学差异。结论e-PTFE额肌悬吊术与额肌瓣悬吊手术相比,手术功能与美容效果满意基本一致,但具有术后恢复时间短,眼表状态好,并发症少的特点。Objective To compare the efficacy of frontalis suspension using e-PTFE as sling materials with frontal muscle flap suspension for congenital ptosis in children.Methods Retrospective analysis of 58 children with congenital ptosis who received frontalis suspension with e-PTFE and frontal muscle flap between September 2012 and September 2014 in Beijing children＇s hospital,the height of the lid,the ocular surface condition,eyelid closure,postoperative cosmetic results and complications were observed.Results Compared e-PTFE frontalis suspension group with frontal muscle flap suspension group,the eyelid closure time of the former was shorter than the latter,the break-up time was significantly longer than that of the latter,with corneal score significantly lower than the latter.Exposure keratitis and upper eyelid trichiasis of the former were less and no significant differences between the cosmetic and functional effects.Conclusions Compared with the frontal muscle flap suspension surgery,the operation function and the cosmetic results of the e-PTFE frontalis suspension was similar,but it has the advantages of short recovery time,good ocular surface condition and less complications

关 键 词：先天性上睑下垂 额肌悬吊术 膨体聚四氟乙烯 

分 类 号：R779.6[医药卫生—眼科]