探究上睑联合筋膜鞘悬吊术治疗儿童重度上睑下垂的疗效  

Study on the effect of conjoint fascial sheath suspension surgery in the treatment of severe blepharoptosis in children

作　　者：黄云云[1] 卢跃兵 孙先桃 HUANG Yun-yun;LU Yue-bing;SUN Xian-tao(Children's Hospital Affiliated to Zhengzhou University,Henan Provincial Children's Hospital,Henan Province,450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院,河南郑州450000

出　　处：《中国医疗美容》2021年第1期15-19,共5页China Medical Cosmetology

摘　　要：目的探究上睑联合筋膜鞘(CFS)悬吊术治疗儿童重度上睑下垂的临床效果。方法选取2017年10月~2019年3月我院收治的98例儿童重度上睑下垂患者,根据治疗方案不同分为研究组和常规组,每组49例。研究组采用CFS悬吊术治疗,常规组采用上睑提肌缩短术治疗。对比两组治疗效果、并发症发生率、患儿家属对矫正效果满意度、手术3个月后瘢痕评分、上睑上提量、上睑缘角膜映光距离(MRD1),术后随访3个月,统计比较两组复发情况。结果研究组治疗优良率(95.92%)高于常规组(79.59%)(P<0.05);研究组手术后3个月瘢痕评分低于常规组,上睑上提量、MRD1高于常规组(P<0.05);研究组术后并发症总发生率(4.08%)与常规组(10.20%)对比,差异无统计学意义(P>0.05);研究组患儿家属对矫正效果满意度(93.88%)高于常规组(75.51%)(P<0.05);研究组复发率(2,08%)与常规组(4.35%)对比,差异无统计学意义(P>0.05)。结论与上睑提肌缩短术对比,采用CFS悬吊术治疗儿童重度上睑下垂能显著改善治疗效果,进一步减轻瘢痕程度,提高患儿家属对矫正满意度,且并发症发生率、复发率均较低,更适用于儿童重度上睑下垂的治疗。Objective To explore the clinical effect of conjoint fascial sheath(CFS)suspension in the treatment of severe blepharoptosis in children.Methods A total of 98 children with severe blepharoptosis admitted to our hospital from October 2017 to March 2019 were selected and divided into study group and conventional group according to different treatment plans,with 49 cases in each group.The study group was treated with CFS suspension,and the conventional group was treated with levator palpebrae shortening.The treatment effect,complication rate,the satisfaction degree of the children’s family with the correction effect,scar score 3 months after surgery,upper eyelid lift,and marginal reflex distance 1(MRD1)were compared between the two groups.The postoperative follow-up was 3 months,and the recurrence of the two groups was statistically compared.Results:The excellent and good rate of treatment in the study group(95.92%)was higher than that in the conventional group(79.59%)(P<0.05).The scar score of the study group was lower than that of the conventional group at 3 months after surgery,and the upper eyelid lift and MRD1 were higher than that of the conventional group(P<0.05).The total incidence of postoperative complications in the study group(4.08%)was compared with that in the conventional group(10.20%),and the difference was not statistically significant(P>0.05).The satisfaction degree of the family members of the children in the study group(93.88%)was higher than that of the conventional group(75.51%)(P<0.05).The recurrence rate of the study group(2.08%)was compared with that of the conventional group(4.35%),and the difference was not statistically significant(P>0.05).Conclusion:Compared with the levator palpebrae shortening,the use of CFS suspension to treat severe blepharoptosis in children can significantly improve the treatment effect and further reduce the degree of scars,and improve the satisfaction degree of the children’s family members with the correction,and the complication rate and recurrence rate are

关 键 词：儿童重度上睑下垂 上睑提肌缩短术 上睑联合筋膜鞘悬吊术 并发症 复发 

分 类 号：R779.6[医药卫生—眼科]