联合筋膜鞘悬吊术后上睑运动状态的观察与评价  

Observation and Evaluation of Upper Eyelid Movement after Combined Fascial Sheath Suspension

作　　者：史俊虎 刘杉 庞润晖 王娟 白萍 

机构地区：[1]河北省眼科医院眼整形泪器科

出　　处：《中国美容医学》2017年第3期15-18,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：观察联合筋膜鞘悬吊术与额肌瓣悬吊术矫正重度先天性上睑下垂术后上睑的运动状态,评价联合筋膜鞘悬吊术后上睑运动功能的优势。方法：选取2015年3月至2016年3月在河北省眼科医院眼整形泪器科住院的重度上睑下垂患者46例6 0眼,随机分两组,分别接受联合筋膜鞘悬吊术与额肌瓣悬吊术,于术后1周、1个月、3个月、6个月时记录上睑的活动范围、泪膜分布状态、上睑迟滞及眼睑闭合不全四项指标,对这四项指标进行统计学处理。结果：接受联合筋膜鞘悬吊术患者术后上睑活动度、泪膜分布状态均明显优于额肌瓣悬吊组患者,两组对比具有统计学意义（P〈0.05）;联合筋膜鞘悬吊术患者术后上睑迟滞及眼睑闭合不全现象较轻、恢复快;两组对比具有统计学意义（P〈0.05）。结论：联合筋膜鞘悬吊术与额肌瓣悬吊术相比,重度上睑下垂患者术后具有更好的上睑运动状态、泪膜分布状态好、上睑迟滞及眼睑闭合不全较轻,是局麻状态下治疗重度上睑下垂的更加优越的手术方式。Objective To observe the patients of upper eyelid movement of severe congenital blepharoptosis after combined fascial sheath suspension and frontalis muscle flap suspension surgery, and evaluate the advantage of combined fascial sheath suspension for severe ptosis. Methods 46 cases（60 eyes） of patients with congenital severe upper eyelid ptosis were treated in Hebei Eye hospital from March 2015 to March 2016 were collected, the patients were divided into combined fascial sheath suspension and frontalis muscle suspension groups randomly, the upper eyelid momenment, tear film distribution, upper eyelid lag and hypophasis were recorded respectively in 1 week, Imonth, 3 months and six months＇s follow up. The measurement were underwent statistics process. Results The patients＇ upper eyelid movement, tear film distribution who underwent combined fascial sheath suspension were better than who underwent frontalis muscle flap suspension, the difference was statistically significant（P〈0.05）. The upper eyelid lag and hypophasis in combined fascial sheath suspension group were slight and recover quickly, the difference was statistically significant（P〈0.05）. Conclusion Compared with the frontalis muscle flap suspension combined with fascial sheath suspension, Severe blepharoptosis patients with upper eyelid movement, tear film distribution bette, the upper eyelid lag and hypophasis in combined fascial sheath suspension group were slight, it is a better superior operation under local anesthesia for treatment of severe blepharoptosis.

关 键 词：联合筋膜鞘悬吊术 额肌瓣悬吊术 重度先天性上睑下垂 上睑运动功能 

分 类 号：R777.1[医药卫生—眼科]