膨体聚四氟乙烯用于儿童上睑下垂额肌悬吊术的并发症分析  

Analysis of complications of frontalis suspension using expanded polytetrafluoroethylene for ptosis in children

作　　者：王媛[1] 樊云葳[1] 曹文红[1] 张燕[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,北京100045

出　　处：《中华眼外伤职业眼病杂志》2017年第1期9-11,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：北京市优秀人才资助计划青年骨干项目（2014000021469G236）

摘　　要：目的 分析膨体聚四氟乙烯应用于儿童上睑下垂手术后并发症.方法 回顾性分析2100例应用膨体聚四氟乙烯进行额肌悬吊的上睑下垂手术的并发症,并分析根据不同并发症的临床表现进行相应处理的结果.结果 38例术后出现并发症,其中悬吊材料排斥反应15例,术后早期急性感染6例,钝挫伤后悬吊材料撕脱5例,结膜囊肉芽肿2例,术后早期上睑回退7例,悬吊材料暴露3例.随访6～12个月,经相应处理后均达到满意效果.结论 膨体聚四氟乙烯在儿童上睑下垂手术方面有一定的优势,术后与植入材料相关的各种并发症的发生率只有1.8％,而且经过相应处理后均取得较好的效果,因此,可以认为膨体聚四氟乙烯悬吊术是一种安全有效的手术方式.Objective To analyze the complications of frontalis suspension using expanded polytetrafluoroethylene （e-PTFE） for ptosis in children.Methods The data of 2100 patients accepted frontalis suspension with e-PTFE was enrolled and analyzed retrospectively.The different treatment were adopted according to the clinical manifestations of different complications.Results Complications occurred in 38 cases after surgery,included 15 cases of rejection,early postoperative acute infection ocurred in 6 cases,avulsion after blunt trauma in 5 cases,conjunctival granuloma in 2 cases,7 cases occurred early fallback and material exposure suspended in 3 cases.After follow-up 6-12 months,all patients achieved satisfactory results.Conclusion The e-PTFE has its advantages in children blepharoptosis surgery.The occurrence of materials-related complications was only 1.8%.The satisfactory curative effect can achieve after corresponding treatment.Therefore frontalis suspension using e-PTFE is a safe and effective surgical method for children with congenital ptosis.

关 键 词：膨体聚四氟乙烯 额肌悬吊术 上睑下垂 儿童 并发症 

分 类 号：R779.6[医药卫生—眼科]