硅胶管额肌悬吊术治疗儿童先天性上睑下垂术后的美容效果及对眼睑高度、闭合情况的影响  

The Cosmetic Effect of Silicone Tube Frontalis Suspension for Children with Congenital Ptosis and its Effect on Eyelid Height and Closur

作　　者：朱飒丽 崔瑞[1] ZHU Sa-feng;CUI Rui(Department of Ophthalmology,the Third People's Hospital of Luohe City,Luohe 462000,Henan Province,China)

机构地区：[1]河南省漯河市第三人民医院眼科,河南漯河462000

出　　处：《罕少疾病杂志》2020年第2期29-30,53,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨硅胶管额肌悬吊术治疗儿童先天性上睑下垂术后的美容效果及对眼睑高度、闭合情况的影响。方法选取2016年8月至2018年8月我院收治的先天性上睑下垂儿童64例为研究对象,采用随机数表法分为观察组和对照组各32例,对照组给予提上睑肌缩短术治疗,观察组给予硅胶管额肌悬吊术治疗,比较两组疗效及美容效果。结果术后观察组上睑至瞳孔反射距离(MRD)、眼睑高度、美容法效果评分显著高于对照组,眼睑完全闭合时间显著低于对照组,差异比较有统计学意义(P<0.05);观察组术后并发挥症发生率6.25%显著低于对照组28.13%,差异有统计学意义(P<0.05)。结论硅胶管额肌悬吊术治疗儿童先天性上睑下垂效果较佳,可显著提高MRD及眼睑高度,缩短眼睑完全闭合时间,美容效果较佳,值得在临床上推广应用。Objective to investigate the cosmetic effect of silicone tube frontalis suspension for children with congenital ptosis and its effect on eyelid height and closure. Methods a total of 64 cases of congenital ptosis children admitted to our hospital from August 2016 to August 2018 were selected as the study objects,and were divided into the observation group and the control group by random number table method into 32 cases each. The control group was treated with shortening of levator muscle of upper eyelid,while the observation group was treated with suspension of frontal muscle of silicone tube,and the efficacy and cosmetic effect of the two groups were compared. Results the upper eyelid to pupil reflex distance(MRD),eyelid height,and cosmetic effect score of the observation group were significantly higher than the control group, and the eyelid complete closure time was significantly lower than the control group,with statistically significant differences(P<0.05). The incidence of postoperative complications in the observation group was 6.25% lower than that in the control group(28.13%),with statistically significant difference(P<0.05). Conclusion silicone tube frontalis suspension is effective in treating children with congenital ptosis. It can significantly improve the height of MRD and eyelid,shorten the time of complete eyelid closure,and has a good cosmetic effect,which is worthy of clinical application.

关 键 词：硅胶管额肌悬吊术 儿童 先天性上睑下垂 

分 类 号：R339.31[医药卫生—人体生理学]