重度先天性上睑下垂两种手术方法疗效对比  

Analysis of Operative Effect of Severe Congenital Blepharotosis

作　　者：刘苏[1] 周希瑗[1] 陈辉[1] 

机构地区：[1]重庆医科大学附二院眼科,400010

出　　处：《中国眼耳鼻喉科杂志》2003年第3期165-166,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的分析额肌瓣悬吊术和提上睑肌缩短术加上横韧带加强术治疗重度上睑下垂的效果比较。方法 23例26眼,其中额肌瓣悬吊术(A组)9例11眼,提上睑肌缩短术加上横韧带加强术(B组)14例15眼,以睑裂高度、双侧睑裂大小等比较两组术后疗效。结果样本率比较两组差异无显著性,平均随访17个月,复发性上睑下垂A组1例,B组2例,睑裂闭合不全A组2例。结论两种手术方法对重度上睑下垂均有效,但后者术后效果更自然。Purpose To analize the operative effect of severe congenital blepharotosis by suspension of the forntalis muscle and its fascia flap or shortening of levator palpiberal superior muscle and strengthening of supeitransverse ligament. Methods Group A: 23 cases (26 eyes) were investigated with 9 cases (11 eyes) operated by suspension of the fronlalis muscle and its fascia flap; Group B: 14 cases (15 eyes) were operated by shortening of levator palpiberal superior muscle and strengthening of supeitransverse ligament. Their postoperative effects were compared. Results There is no significant difference between them. Followed up for 17 months, 1 case of recurrent blepharotosis occureed in group A, 2 ocurred in group B, and 2 overcorrection after ptosis surgery ocured in group A. Conclusion The two operations are effective for severe congenital blepharotosis. but the operation of shortening of levator palpiberal superior muscle and strengthening of supertransverse ligament is more beautiful than the other.

关 键 词：先天性上睑下垂 手术方法 疗效对比 外科手术 额肌瓣悬吊术 提上睑肌缩短术 上横韧带加强术 

分 类 号：R779.6[医药卫生—眼科]