联合筋膜鞘结合提上睑肌矫正复发性重度上睑下垂的临床研究  

Clinical Study of Conjoint Fascial Sheath Combined with Superior Diaphragm for Correction of Recurrent Severe Blepharoptosis

作　　者：张安利[1] 黄泽春[1] 晏丹[1] 唐红伟[1] 李帅华[1] 肖瑶[1] 曹静雯 ZHANG An-li;HUANG Ze-chun;YAN Dan;TANG Hong-wei;LI Shuai-hua;XIAO Yao;CAO Jing-wen(Department of Cosmetic and Plastic Surgery,the First People's Hospital of Chenzhou, Chenzhou 423000,Hunan,China)

机构地区：[1]湖南郴州市第一人民医院整形美容科

出　　处：《中国美容医学》2019年第6期24-26,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用联合筋膜鞘悬吊睑板,结合提上睑肌缩短提升,治疗复发性重度上睑下垂的临床效果。方法:应用联合筋膜鞘悬吊睑板,结合提上睑肌缩短提升,治疗复发性重度上睑下垂,共计30例35只眼。结果:随访6个月~3年,其中满意30只眼,改善5只眼,对4只改善眼做了2次调整;有1只改善后不愿意做再次调整。双睑睑裂基本对称,重睑弧度自然。结论:应用联合筋膜鞘悬吊睑板,结合提上睑肌缩短提升,治疗复发性重度上睑下垂,手术操作相对简单,具有创伤小,可重复性强,并发症少等优点,能有效地提高上眼睑高度。Objective To investigate the clinical effect of the treatment of recurrent severe blepharoptosis by using the conjoint fascial sheath(CFS) and combining the lifting of the diaphragm to shorten the anti-uplift enhancement. Methods A total of 30 cases(35 eyes) were treated with conjoint fascial sheath suspension of eyelid and shortening and elevation of levator palpebrae muscle for recurrent severe blepharoptosis. Results All patients were followed up for 6 months to 3 years. Among them, 30 eyes were satisfied, 5 eyes were improved, and 4 eyes were adjusted twice, the latter 4 eyes all reached satisfactory standards.One eye was reluctant to readjust after improvement. The double eyelid cleft was basically symmetrical and the double eyelid arc was natural. Conclusion The application of conjoint fascial sheath(CFS), combined with lifting the diaphragm to shorten the anti-stacking enhancement, treatment of recurrent severe ptosis, relatively simple operation, small trauma, reproducible, less complications, can be effective Improve the height of the upper eyelid.

关 键 词：重度上睑下垂 联合筋膜鞘 提上睑肌 额肌瓣 复发 

分 类 号：R622[医药卫生—整形外科]