重睑术后并发上睑下垂的临床研究  

Ptosis after procedure of duplication blepharoplasty: a clinical study

作　　者：尹飞[1] 于加平[1] 蔡茂季[1] 曾金鉴[1] 朱燕飞[1] 

机构地区：[1]解放军第98医院整形美容中心,浙江湖州313000

出　　处：《中华医学美学美容杂志》2003年第6期331-333,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨重睑术后并发上睑下垂的临床表现及其发生原因 ,并尝试其矫正方法。方法　根据重睑术后上睑下垂程度的不同 ,将其临床表现大致分为 3度 ,对 2 5例重睑术后并发上睑下垂患者行矫正术 ,术中根据粘连的情况分析其产生原因 ,并根据不同原因采取不同的解决方法。结果　该组 2 5例 ,其可能发生的原因主要是由于手术操作不当导致上睑提肌腱膜损伤、腱膜与眶隔或皮肤发生粘连 ,导致上睑提肌的负荷增加或功能受限。结论　上睑局部解剖结构在重睑术中有重要意义 ,只要熟悉眼睑的解剖层次 ,并谨慎操作 。ObjectiveTo summarize the clinical characteristics of pt osis,one of complications after double eyelid blepharoplasty, and to explore i ts causes and attempt for the resolutions. MethodsThe clinica l symptoms were divided into three types based on the degrees of the ptosis afte r double eyelid blepharoplasty. The causations in 25 cases of different degree o f ptosis after double eyelid blepharoplasty were investigated and analyzed durin g operations. The local adhesive deformities were analyzed so as to take differe nt resolutions for the complication. Results It seemed that th e operative damage to the aponeurosis was the main reason for the complication. So it caused the scar adhesive deformities between the palpabralis aponeurosis a nd the orbital membrane or the skin of upper eyelid, resulting in the difficult y of the palpabralis muscle's contract and unablility of the muscle function in different degrees. Conclusion The ptosis can surely be av oided if we have good knowledge about the mechanism of double fold formation and the anatomy of eyelids and perform the operation meticulously.

关 键 词：重睑术 并发症 上睑下垂 临床资料 手术治疗 

分 类 号：R622[医药卫生—整形外科]