改良提上睑肌延长术联合Müller肌切除术治疗上睑退缩的疗效观察  

Observation of the Curative Effect of Modified Levator Muscle Lengthening Combined with Müller Muscle Resection in the Treatment of Upper Eyelid Retraction

作　　者：方涛 杨宏刚 张承武 胡金 FANG Tao;YANG Honggang;ZHANG Chengwu;HU Jin(Wuchang Cascano Medical Beauty Clinic,Wuhan 430000,Hubei,China;Department of Aesthetic Surgery,Boao Yiling Life Care Center,Qionghai 574100,Hainan,China)

机构地区：[1]武昌卡斯卡诺医疗美容门诊部,湖北武汉430000 [2]博敖一龄生命养护中心美容外科,海南琼海574100

出　　处：《中国美容医学》2023年第1期15-18,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨改良提上睑肌延长术联合Müller肌切除术治疗上睑退缩的疗效。方法:选取2017年10月-2020年10月在笔者医院就诊的上睑退缩患者59例。对所有患者实施改良提上睑肌延长术联合Müller肌切除术。术后6个月,记录临床效果、眼睑及眼表指标、并发症和生活质量情况。结果:术后6个月,59例上睑退缩患者中,完全矫正42例(71.19%),改善16例(27.12%),无效1例(1.69%),总有效率为98.31%(58/59)。术后,患者睑裂高度、上方巩膜露白均低于术前,上睑覆盖角膜高度高于术前,差异有统计学意义(P<0.05);术前术后患者上睑肌力比较,差异无统计学意义(P>0.05)。术后,患者泪膜破裂时间、泪液基础分泌试验长度均优于术前,差异有统计学意义(P<0.05)。59例上睑退缩患者中,4例患者有不同程度的眼睑肿胀,患者均无感染、血肿、颞侧巩膜暴露、复发等并发症。术后,患者生活质量评分均高于术前,差异有统计学意义(P<0.05)。结论:改良提上睑肌延长术联合Müller肌切除术在上睑退缩治疗中疗效确切,能减轻临床症状,改善患者生活质量,且并发症少。Objective To explore the curative effect of modified levator muscle lengthening combined with Müller muscle resection in the treatment of upper eyelid retraction.Methods 59 patients with upper eyelid retraction who were treated in our hospital from October 2017 to October 2020 were selected.All patients were treated with modified levator muscle lengthening combined with Müller muscle resection.6 months after surgery,the clinical effects,eyelid and ocular surface indicators,complications and quality of life were recorded.Results At 6 months after surgery,among 59 patients with upper eyelid retraction,42 cases(71.19%)were completely corrected,16 cases(27.12%)were improved,1 case was ineffective(1.69%),and the total effective rate was 98.31%(58/59).After surgery,the height of the palpebral fissure and the whiteness of the upper sclera were lower than those before surgery,and the height of the upper eyelid covering cornea was higher than that before surgery,the differences were statistically significant(P<0.05).There was no significant difference in the upper eyelid muscle strength in the patients before and after the surgery(P>0.05).After surgery,the break-up time and the length of the schirmer I test were better than those before surgery(P<0.05).Among 59 patients with upper eyelid retraction,4 patients had different degrees of eyelid swelling,and none of the patients had complications such as infection,hematoma,temporal sclera exposure,and recurrence.After surgery,the patients’quality of life scores were higher than those before surgery(P<0.05).Conclusion Modified levator muscle lengthening combined with Müller muscle resection has a definite effect in the treatment of upper eyelid retraction,which can reduce clinical symptoms,improve quality of life,and have fewer complications.

关 键 词：上睑退缩 改良提上睑肌延长术 Müller肌切除术 并发症 生活质量 

分 类 号：R622[医药卫生—整形外科]