联合筋膜鞘悬吊术矫正重度上睑下垂中上睑提肌复合体缩短术的效果  

Effect of shortening of levator palpebrae complex on combined fascial sheath suspension in severe blepharoptosis

作　　者：李旋[1] 席庆春 赵玲玲 方明松[1] 曹林[1] 桑鹏飞 刘畅[1] Li Xuan;Xi Qingchun;Zhao Lingling;Fang Mingsong;Cao Lin;Sang Pengfei;Liu Chang(Department of Plastic and Reconstructive Surgery,the Second People's Hospital of Hefei,Hefei 230011,China)

机构地区：[1]合肥市第二人民医院整形修复外科,合肥230011

出　　处：《中华医学美学美容杂志》2021年第4期289-292,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：合肥市应用医学研究项目计划(hwk2018yb004)。

摘　　要：目的探讨联合筋膜鞘悬吊矫正重度上睑下垂术中上睑提肌复合体的缩短方式,寻找一种疗效可靠、并发症少的手术方式。方法2016年10月至2020年2月,合肥市第二人民医院整形修复外科将24例(男6例,女18例,年龄10~73岁,平均34.4岁)重度上睑下垂患者40只患眼均分为观察组和对照组,观察组20眼行联合筋膜鞘悬吊+上睑提肌复合体无张力缩短矫正,对照组20眼用联合筋膜鞘悬吊+上睑提肌复合体缩短术矫正,比较两组术后不同时间矫正效果、并发症等情况。结果术后1周及第3、6个月分别进行随访,两种方法在术后各时间段矫正效果差异无统计学意义,而观察组并发症发生率在术后1周时较对照组减少。结论联合筋膜鞘悬吊+上睑提肌复合体无张力缩短术治疗重度上睑下垂早期并发症较少、疗效可靠,但需改良术式以获得更加持久的效果。Objective To explore the treatment of levator complex in conjoint fascial sheath suspension correction on severe ptosis,and to seek a reliable and less complications operation.Methods From October 2016 to February 2020,40 eyes of 24 patients with severe ptosis(6 males and 18 females,aged from 10 to 73 years,with an average of 34.4 years)were divided into study group and control group.20 eyes in study group were treated with combined fascia sheath suspension and levator palpebrae muscle complex tension-free shortening correction,while 20 eyes in control group were treated with combined fascia sheath suspension and levator palpebrae muscle complex tension-free shortening correction The effects and complications of the two groups were compared.Results Follow-up studies were conducted at 1 week,3 month and 6 months after operation.There was no significant difference between the two methods at different time points after operation,and the incidence of complications in the study group was less than that in the control group at 1 week after operation.Conclusions Combined with fascial sheath suspension and levator palpebrae muscle complex tension-free shortening in the treatment of severe blepharoptosis has less complications and reliable curative effect in the early postoperative period,but it still needs to be improved to obtain more lasting curative effect.

关 键 词：眼睑成形术 联合筋膜鞘 上睑提肌 上睑下垂 

分 类 号：R779.6[医药卫生—眼科]