眶隔翻转向下固定治疗轻度上睑下垂的效果  

Turning the orbital septum downward and fixing it to the tarsus for treatment of mild blepharoptosis

作　　者：李高峰[1] 丁卫[1] 谭军[1] 张博[1] 陈新 贺斌 Li Gaofeng;Ding Wei;Tan Jun;Zhang Bo;Chen Xin;He Bin(Department of Plastic and Cosmetic Surgery,Hunan Provincial People's Hospital,Changsha 410005,China;Department of Burns and Plastic Surgery,Ningxiang City People's Hospital,Ningxiang 410600,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)整形激光美容外科,长沙410005 [2]宁乡市人民医院烧伤整形科,湖南宁乡410600

出　　处：《中华医学美学美容杂志》2020年第5期394-397,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：湖南省卫健委科研项目(20200250)。

摘　　要：目的探求一种新的矫正轻度上睑下垂的方法。方法2015年12月至2017年10月,湖南省人民医院整形激光美容外科对轻度上睑下垂患者31例,13例为双侧,18例为单侧,共44只眼;其中男5例,女26例,年龄18~51岁;用眶隔翻转向下与下方眼轮匝肌睑板前筋膜缝合固定的方法进行矫正,观察其效果。结果31例44只眼均于术后7 d拆线,重睑线形态良好,眼睑闭合良好。随访6个月,轻度上睑下垂均得到矫正,无上睑退缩,无眼睑闭合不全。术前及术后6个月测量双眼平视前方时睑缘遮盖角膜高度分别为3.03±0.32,1.55±0.19(P<0.01)。术后25例(80.6%)达到满意效果,6例为基本满意,无不满意者。结论眶隔翻转向下固定是矫正轻度上睑下垂的良好方法。Objective To present a new treatment method using orbital septum for mild blepharoptosis.Methods Patients with mild blepharoptosis from December 2015 to October 2017 were included in this study.We incised the orbital septum horizontally.The adhesion between the levator aponeurosis and orbital fat was released.The lower part of the dissected orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia.The efficacy of this surgical procedure was analyzed.Results Fourty-four eyes of 31 patients were included in the final analysis.Stitches were removed 7 days after surgery.The double eyelid lines were well formed.The eyelid closed well.The 6-month follow-up revealed that blepharoptosis was corrected in all analyzed eyes.No upper eyelid retraction or incomplete eye closure was observed.Before the operation and 6 months after the operation,the height of upper eyelid covering the cornea were 3.03±0.32,1.55±0.19,respectively(P<0.01).25 patients were fully satisfied with the surgical results and 6 were basically satisfied with the surgical results.Conclusions Turning the orbital septum downward and fixing it to the upper border of the lower orbicularis oculi muscle and pretarsal fascia is a promising method for correcting mild blepharoptosis.

关 键 词：眼部 眼睑成形术 轻度上睑下垂 眶隔 上睑提肌腱膜 粘连 

分 类 号：R779.6[医药卫生—眼科]