改进的上睑提肌缩短术矫治上睑下垂的临床分析  

Clinical analysis of resection of levator aponeurosis for the treatment of ptosis

作　　者：赵凯[1] 

机构地区：[1]郑州市中心医院眼科,河南郑州450007

出　　处：《眼外伤职业眼病杂志》2004年第4期250-251,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　评价上睑提肌缩短术矫治上睑下垂的效果。方法　共治疗上睑下垂 2 8例 3 7眼 ,其中轻度 10例 16眼 ,中度 18例 2 1眼。此改进的术式与常规术式不同之处在于增加分离上睑提肌腱膜的长度 ( 2 2mm)和宽度 ( 16mm) ,腱膜在睑板上固定 4对缝线 ,以增加其牢固度。结果　术后 3～ 4月进行随访 ,成功 3 5眼 ( 94 5 9% ) ,上睑缘达角膜上缘以下 1mm ;2眼( 5 41% )上睑缘达角膜上缘以下 1 5～ 2mm。结论　该上睑提肌缩短术与常规手术比较有改进 ,术后的睑缘高度易保持在上方角膜缘 ,弧度与健侧对称 ,不易形成眼角畸形 ,能较好提高矫治效果。Objective Evaluating the effect of the resection of levator aponeurosis for the treatment of ptosis.Methods Resection of levator aponeurosis was performed on the consecutive 28 cases(37 eyes),among which 10 cases(16 eyes) were mild,18 cases(21 eyes) were moderate ptosis.The difference between this type of operation and the regular one is that separating the tendon of the lavatory palpebrae muscle up to 22 mm in length,16 mm in width,and tendon was fixed to confirm to the stability.Results After 3-4 months follow-up,35 eyes were corrected successfully.Among them,the upeer lid lies 1 mm better than limbus,and anodther 2 eyes 1.5-2 mm below.Conclusion The resection of levator aponeurosis makes better than the regular one,after the operation,the altitude of the curve of the upper lid lies easier upper the limbus,and curve symmetrize the healthy one,and dosen′t occur angle formation easily.

关 键 词：上睑提肌缩短术矫治 上睑下垂 临床分析 治疗 

分 类 号：R779.6[医药卫生—眼科]