提上睑肌-Müller's肌复合体联合筋膜悬吊术矫治重度上睑下垂  

Levator Palpebrae Superioris-Müller’s Muscle Complex Combined with Fascia Suspension in the Correction of Severe Ptosis

作　　者：华敏 孙宏伟 吴延江 HUA Min;SUN Hongwei;WU Yanjiang(Department of Plastic Surgery,the Second Hospital of Chaoyang City,Chaoyang 122000,Liaoning,China;Department of Orthopedics,Huludao Central Hospital,Huludao 122001,Liaoning,China)

机构地区：[1]朝阳市第二医院整形美容科,辽宁朝阳122000 [2]葫芦岛市中心医院骨外科,辽宁葫芦岛122001

出　　处：《中国美容医学》2022年第10期78-81,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究提上睑肌-Müller's肌复合体联合筋膜悬吊术矫治重度上睑下垂的疗效。方法:选取2017年5月-2020年6月笔者医院收治的98例重度上睑下垂患者,数字表法分为对照组(额肌瓣悬吊术治疗)与观察组(提上睑肌-Müller's肌复合体联合筋膜悬吊术治疗)各49例,随访半年,比较两组临床疗效,以及不同时间(术后1个月、3个月、6个月)的瞳孔中央反光点与上睑缘的高度(MRD1)、上睑上提量、眼睑闭合不全量,并记录两组患者并发症发生情况。结果:观察组的矫正率为91.84%,明显高于对照组的75.51%(P<0.05);矫正术式和时间存在交互效应,随着时间延长,两组患者的MRD1值、上睑上提量均有上升,观察组的上升幅度更明显(P<0.05),两组患者的闭合不全量均有下降,观察组的下降幅度更明显(P<0.05);观察组并发症发生率为4.08%,低于对照组的20.41%(P<0.05)。结论:提上睑肌-Müller's肌复合体联合筋膜悬吊术矫治重度上睑下垂,相比传统术式,效果稳定,眼睑闭合不全量较少,安全性高。Objective To study the application of levator palpebrae superioris-Müller’s muscle complex combined with fascia suspension in the correction of severe ptosis.Methods A total of 98 patients with severe ptosis admitted to the hospital from May 2017 to June 2020 were enrolled and divided into control group(frontalis muscle suspension)and observation group(levator palpebrae superioris-Müller’s muscle complex combined with fascia suspension)by random number table method,49 cases in each group.After followed up for half a year,clinical curative effect,margin reflex distance 1(MRD1)at different time points(1 month,3 and 6 months after surgery),upper eyelid lift and dysraphism were compared between the two groups.The occurrence of complications in both groups as recorded.Results The correction rate in observation group was significantly higher than that in control group(91.84%vs 75.51%,P<0.05).There were interaction effects between correction method and time.As time went by,MRD1 and upper eyelid lift in both groups were increased,whose increase was more significant in treatment group(P<0.05),And dysraphism in both groups was decreased,whose decrease was more significant in treatment group(P<0.05).The incidence of complications in observation group was lower than that in control group(4.08%vs 20.41%,P<0.05).Conclusion Compared with traditional surgery,levator palpebrae superioris-Müller’s muscle complex combined with fascia suspension is more stable in the correction of severe ptosis,with less dysraphism and higher safety.

关 键 词：上睑肌-Müller's肌复合体 筋膜悬吊术 额肌瓣悬吊术 上睑下垂 重度 眼睑闭合不全 

分 类 号：R622[医药卫生—整形外科]