重睑术后腱膜性上睑下垂的矫正与成因探讨  

Anatomic Causation and Correction of Aponeurosis-related Blepharoptosis after Double Eyelidplasty

作　　者：尹飞 于加平 蔡茂季 

机构地区：[1]解放军第九八医院,313000

出　　处：《整形再造外科杂志》2004年第2期93-95,共3页

摘　　要：目的探讨重睑术后并发上睑下垂的发生原因及其解决方法。方法对25例重睑术后并发上睑下垂患者行矫正术,术中根据粘连的情况分析其产生的原因,并根据不同原因采取不同的解决方法。结果根据分析,其可能发生的原因主要是手术操作不当导致上睑提肌腱膜损伤和腱膜与眶隔或皮肤发生粘连导致上睑提肌的负荷增加或功能受限。结论上睑局部解剖结构在重睑术中有重要意义。熟悉眼睑的解剖层次,并谨慎操作,可避免重睑术后上睑下垂并发症的发生。Objective To investigate the causation and correction of blepharoptosis after double eyelidplasty.Methods 25 cases with blepharoptosis after double eyelidplasty received secondary correction surgery.Different types of operations were chosen depending on the causations and characteristics of the deformities.Results The main reasons included operation-related aponeurosis injury,adhesion between aponeurosis and the septum orbitale or the skin,resulting the malfunction of the levator muscle.Conclusion The anatomy of the upper eyelid is very important in the double eyelidplasty.Delicate performance is necessary to avoid the operation-related blepharoptosis.

关 键 词：重睑成形术 上睑下垂 上睑提肌 腱膜 

分 类 号：R779.6[医药卫生—眼科]