上睑提肌前徙在矫正重睑术后宽重睑伴上睑下垂中的应用  

Application of levator palpebrae superioris advancement in correction of wide double eyelid with ptosis after double eyelid operation

作　　者：刘欢[1,2] 方柏荣 Liu Huan;Fang Bairong(Department of Plastic and Aesthetic(Burn)Surgery,the Second Xiangya Hospital,Central South University,Changsha 410011,China;The Mylike Medical Cosmetic Hospital,Changsha 410007,China)

机构地区：[1]中南大学湘雅二医院整形美容烧伤外科,长沙410011 [2]长沙美莱医疗美容医院,长沙410007

出　　处：《中华整形外科杂志》2022年第9期993-997,共5页Chinese Journal of Plastic Surgery

摘　　要：目的探讨上睑提肌前徙在修复重睑术后宽重睑伴上睑下垂中的应用。方法选择2015年1月至2020年10月来自中南大学湘雅二医院及长沙美莱医疗美容医院的重睑术后宽重睑伴上睑下垂患者,在矫正宽重睑手术中,解剖复位各组织结构,并应用上睑提肌前徙矫正宽重睑患者的上睑下垂畸形。术后对患者进行随访,分别让医生、患者和第三方对比术前和术后6个月以上照片,对手术效果进行评估,三方都满意为显著有效,两方满意为有效,一方满意为一般,都不满意为差。结果共纳入98例患者,女性95例,男性3例;年龄18~49岁,平均24.5岁。双侧宽重睑同时矫正68例,单侧宽重睑矫正30例,共行166侧上眼睑手术,其中轻度上睑下垂102侧,中度上睑下垂64侧。术后效果评价:显著有效90例,有效5例,一般3例,无效果差患者,疗效满意度为96.9%(95/98)。结论在宽重睑修复手术中,上睑提肌前徙是宽重睑修复中的重要步骤,可以有效矫正宽重睑患者的上睑下垂畸形。Objective To investigate the application of levator palpebrae superioris advancement in correction of wide double eyelid with ptosis after double eyelid operation.Methods From January 2015 to October 2020,patients with wide double eyelids and ptosis after double eyelid surgery were selected from the Second Xiangya Hospital of Central South University and Changsha Mylike Medical Cosmetic Hospital.In the operation of wide double eyelid correction,all the tissues were given anatomic reduction,and levator palpebrae advancement in correction of wide double eyelid patients with ptosis deformity was applied.After the operation,the patients were followed up,and the doctor,the patients and the third party were asked to compare the photos before and 6 months after the operation.Then,the outcome was evaluated.The result showed that the three parties were satisfied as significantly effective,two parties satisfied as effective,one party satisfied as average,all dissatisfied as poor.Results A total of 98 patients were included.There were 95 females and 3 males,aged 18-49 years,with an average of 24.5 years.68 cases were treated with bilateral,30 cases were treated with unilateral correction.166 upper eyelid operations were performed,including 102 cases of mild blepharoptosis and 64 cases of moderate blepharoptosis.Postoperative effect evaluation:90 cases were significantly effective,5 cases were effective,3 cases were average,no case was poor,and the satisfaction rate was 96.9%(95/98).Conclusions In the operation of wide double eyelid repair,levator palpebrae superioris muscle advancement is an important step in wide double eyelid repair,and can effectively correct the ptosis deformity of patients with wide double eyelid.

关 键 词：眼睑成形术 宽重睑 上睑下垂 上睑提肌前徙 

分 类 号：R779.6[医药卫生—眼科]