先天性轻度上睑下垂患者眶隔后壁-上睑提肌复合体折叠术后矫正及美学效果分析  

Analysis of Correction Effect and Aesthetic Effect after Posterior Orbital Septum-levator Muscle Complex Plication Surgery in Patients with Congenital Mild Ptosis

作　　者：李建学 薛涵 李翔 孙胜广 LI Jianxue;XUE Han;LI Xiang;SUN Shengguang(Department of Burn and Plastic Surgery,Bozhou People's Hospital,Bozhou 236800,Anhui,China)

机构地区：[1]亳州市人民医院烧伤整形科,安徽亳州236800

出　　处：《中国美容医学》2024年第9期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨先天性轻度上睑下垂患者眶隔后壁-上睑提肌复合体折叠术后矫正效果及美学效果。方法:选取2020年4月-2023年4月在笔者医院诊治的84例先天性轻度单侧上睑下垂患者为研究对象,根据手术方式分为对照组(上睑提肌缩短术)和观察组(眶隔后壁-上睑提肌复合体折叠术),各42例。比较两组矫正效果、眼睑生理功能、美学评分、上睑回缩量及术后并发症发生情况。结果:观察组总有效率90.48%(38/42),高于对照组73.81%(31/42)(P<0.05)。两组上睑活动度均高于术前,且观察组高于对照组(P<0.05)。观察组术后3个月美学评分高于对照组(P<0.05)。观察组术后3个月的眼睑自然闭合状态下的睑裂高度低于对照组(P<0.05)。两组上睑回缩量的组间、时间及交互作用差异有统计学意义(P<0.05);两组术后1周、术后1、3个月的上睑回缩量依次增加,观察组术后1、3个月的上睑回缩量均低于对照组(P<0.05)。观察组术后并发症总发生率4.76%(2/42),低于对照组21.43%(9/42)(P<0.05)。结论:眶隔后壁-上睑提肌复合体折叠术可有效改善先天性轻度上睑下垂患者的眼睑生理功能,矫正效果和美学效果均优于上睑提肌缩短术,且安全性良好。Objective To explore the correction effect and aesthetic effect after posterior orbital septum-levator muscle complex plication surgery in patients with congenital mild ptosis.Methods 84 patients with unilateral congenital mild ptosis diagnosed and treated in the author's hospital from April 2020 to April 2023 were selected as the research subjects.They were divided into control group(shortening of the levator palpebrae superioris muscle)and observation group(posterior orbital septum-levator muscle complex plication surgery)according to the surgical method,with 42 cases in each group.The binocular correction effects,eyelid physiological functions,aesthetic scores,upper eyelid retraction amount and postoperative complications were compared between the two groups.Results The total effective rate of the observation group was 90.48%(38/42),which was higher than the control group,73.81%(31/42)(P<0.05).The upper eyelid mobility in both groups was higher than before surgery,and the observation group was higher than the control group(P<0.05).The aesthetic score of the observation group 3 months after surgery was higher than that of the control group(P<0.05).The height of palpebral cleft in the observation group was lower than that in the control group at 3 months after operation(P<0.05).There were statistically significant differences in the intergroup,time and interaction of upper eyelid shrinkage between the two groups(P<0.05),the amount of upper eyelid retraction in the two groups increased sequentially at 1 week,1 and 3 months after surgery.The amount of upper eyelid retraction in the observation group at 1 and 3 months after surgery were lower than that in the control group(P<0.05).The total incidence rate of postoperative complications in the observation group was 4.76%(2/42),which was lower than 21.43%(9/42)in the control group(P<0.05).Conclusion Posterior orbital septum-levator muscle complex plication surgery can effectively improve the physiological function of the eyelids in patients with congenital mild ptosi

关 键 词：上睑下垂 眶隔后壁-上睑提肌复合体折叠术 上睑提肌缩短术 矫正效果 美学评分 

分 类 号：R779.6[医药卫生—眼科]