重睑术后医源性上睑下垂修复研究进展  

Research progress of iatrogenic blepharoptosis repair after double eyelid surgery

作　　者：刘湘君 方柏荣[1] LIU Xiangjun;FANG Bairong(Department of Plastic Surgery,Second Xiangya Hospital,Central South University,Changsha Hunan,410011,P.R.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

出　　处：《中国修复重建外科杂志》2023年第6期732-735,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结亚洲人重睑术后医源性上睑下垂的病因机制以及相应治疗方案。方法广泛查阅关于修复重睑术后医源性上睑下垂的相关文献,总结分析其相关解剖机制、现有治疗方案及其适应证。结果医源性上睑下垂是重睑术后相对常见的并发症之一,有时与上睑凹陷、重睑过宽等其他眼睑畸形合并出现,导致修复具有一定难度。病因机制主要为组织及瘢痕不当粘连、上睑组织去除不当及提肌动力系统某一环节损伤所致。无论是切开法重睑术后还是埋线法重睑术后发生上睑下垂,均应行切开修复。修复原则包括手术松解组织粘连、解剖复位,修复损伤组织,关键是利用周围组织或移植脂肪预防粘连。结论临床上行医源性上睑下垂修复时,应根据其上睑下垂病因及严重程度,结合治疗原则选择合适术式,才能达到较好修复效果。Objective To summarize the etiology mechanism and treatment of iatrogenic blepharoptosis after double eyelid surgery in Asia.Methods To extensively review the literature related to iatrogenic blepharoptosis after double eyelid surgery,and to summarize and analyze the related anatomical mechanism,existing treatment options,and indications.Results Iatrogenic blepharoptosis is a relatively common complication after double eyelid surgery,sometimes it is combined with other eyelid deformities such as sunken upper eyelid and wide double eyelid,which makes it difficult to repair.The etiology is mainly caused by improper adhesion of tissues and scars,improper removal of upper eyelid tissue,and injury of a link of levator muscle power system.Whether blepharoptosis occurs after double eyelid surgery by incision or suture,it should be repaired by incision.The principles of repair include surgical loosening of tissue adhesion,anatomical reduction,and repair of damaged tissues.The key is to use surrounding tissues or transplanted fat to prevent adhesion.Conclusion When repairing iatrogenic blepharoptosis clinically,appropriate surgical methods should be selected based on the causes and severity of the blepharoptosis,combined with treatment principles,in order to achieve better repair results.

关 键 词：重睑术后修复 医源性上睑下垂 并发症 

分 类 号：R779.6[医药卫生—眼科]