下睑赘皮性倒睫汉族儿童睑板宽度测量及睑板发育特征分析  

Measurement of tarsal plate width and characteristic analysis of tarsal development in Chinese Han children with epiblepharon

作　　者：王越[1] 杜抱朴 侯志嘉[1] 李蕾[1] 章征[1] Wang Yue;Du Baopu;Hou Zhijia;Li Lei;Zhang Zheng(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology&Visual Science,Beijing 100730,China;Department of Anatomy,Histology and Embryology,Capital Medical University,Beijing Key Laboratory of Cancer Invasion and Metastasis Research,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京同仁医院北京、同仁眼科中心、眼科学与视觉科学北京市重点实验室,100730 [2]首都医科大学基础医学院人体解剖与组织胚胎学系、首都医科大学肿瘤与代谢性疾病研究室,100069

出　　处：《眼科》2023年第4期316-319,共4页Ophthalmology in China

摘　　要：目的测量汉族下睑赘皮性倒睫儿童上、下睑板的宽度,并分析其睑板发育特征。设计前瞻性病例系列。研究对象2018-2022年北京同仁医院眼科下睑赘皮性倒睫2~13岁儿童258例(516眼)。方法全麻手术开始前使用精确度为0.5 mm的钢尺手术显微镜下测量上、下睑板宽度,包括上睑内侧、上睑中央、上睑瞳孔颞侧缘及上睑外侧睑板宽度,下睑内侧、下睑中央、下睑外侧睑板宽度。主要指标睑板宽度。结果258例儿童的上睑内侧、上睑中央、上睑瞳孔颞侧缘、上睑外侧的睑板宽度分别为(4.76±0.74)mm、(8.05±0.70)mm、(8.47±0.74)mm、(7.07±0.78)mm。下睑内侧、下睑中央、下睑外侧的睑板宽度分别为(3.18±0.49)mm、(3.87±0.51)mm、(3.84±0.54)mm。上、下眼睑的睑板宽度在性别上无明显差异。上睑中央处睑板宽度0~3岁组(21例)、4~6岁组(147例)、7~9岁组(72例)、10~13岁组(17例)分别为(7.71±0.46)mm、(7.95±0.65)mm、(8.25±0.70)mm、(8.59±0.94)mm;下睑中央处睑板宽度0~3岁组、4~6岁组、7~9岁组、10~13岁组分别为(3.74±0.44)mm、(3.84±0.52)mm、(3.94±0.52)mm、(4.06±0.46)mm。结论下睑赘皮性倒睫汉族儿童上睑睑板的生长发育速度较快,10~13岁达到最宽,下睑睑板发育相对较为缓慢。上睑瞳孔颞侧缘睑板处最宽,其次为上睑中央睑板,上睑内侧睑板最窄,在儿童眼睑手术时应考虑到此差异。Objective To measure the width of the upper and lower tarsal plates of China Han children with epiblepharon,and analyze their growth and development characteristics.Design Prospective case series.Participants From 2018 to 2022,258 cases(516 eyes)of children with lower epiblepharon aged 2~13 years in Beijing Tongren Hospital were included.Methods Before the general anesthesia operation,the width of the upper and lower tarsal plates was measured by a steel ruler with an accuracy of 0.5 mm under the operating microscope.Upper eyelid medial tarsal plate width,upper eyelid central tarsal plate width,upper eyelid pupil temporal margin tarsal plate width,upper eyelid lateral tarsal plate width,lower eyelid medial tarsal width,lower eyelid central tarsal width,lower eyelid lateral tarsal width were included.Main Outcome Measures Tarsal plate width.Results The average width of the upper tarsal plate of 258 children was(4.76±0.74)mm for the medial tarsal plate,(8.05±0.70)mm for the central tarsal plate,(8.47±0.74)mm for the pupil temporal margin tarsal plate and(7.07±0.78)mm for the lateral tarsal plate.The average width of the lower tarsal plate was(3.18±0.49)mm for the medial tarsal plate,(3.87±0.51)mm for the central tarsal plate and(3.84±0.54)mm for the lateral tarsal plate respectively.There was no significant difference between male and female in children's upper and lower tarsal plate width.The width of central tarsal plate of the upper eyelid was(7.71±0.46)mm in the 0~3 years group(n=21),(7.95±0.65)mm in the 4~6 years group(n=147),(8.25±0.70)mm in the 7~9 years group(n=72)and(8.59±0.94)mm in the 10~13 years group(n=17).The width of the tarsal plate in the center of the lower eyelid was(3.74±0.44)mm in 0~3 years old group,(3.84±0.52)mm in 4~6 years old group,(3.94±0.52)mm in 7~9 years old group and(4.06±0.46)mm in 10~13 years old group.Conclusions The growth and development speed of the upper eyelid tarsal plate is faster in China Han children with epiblepharon,reaching the widest at the age of 10~13,

关 键 词：睑板宽度 儿童 下睑赘皮性倒睫 

分 类 号：R779.6[医药卫生—眼科]