提上睑肌缩短前徙术治疗重度先天性上睑下垂疗效观察.pdfVIP

196 中国美容医学2∞8 年2 月第 17 卷第2 期 Chinese Joumal of Aesthetic Medicine.Feb.2∞8.VoI.l 7.No.2 ·论著· 提上险肌缩短前徙术治疗重度先天性上险下垂疗效观察 陈涛，李冬梅，赵颖，秦毅 (首都医科大学附属北京同仁医院眼科中心 北京 100730) [摘要]目的:评价经皮肤入路提上险肌缩短前徙术治疗重度先天性上险下垂钓手术效果.方法:重度先天性上险下垂 64 例 (82 只H剧，提上险肌活动度在 4皿以下，行经皮肤入路提上险肌缩短前徙术.手术采用经典术式，术后严密观察上险位置，随诊6- 24 个月.结果:术后 31列在观察期间出现回返或欠矫， 2 例经再次手术矫正.术后一周内 7 例出现轻度暴露性角膜炎，经治疗好 转.结论:大部分重度先天性上险下垂可通过提上险肌缩短前徒手术恢复容貌，精细手术操作能有效避兔手术并发症. [关键词]上险下垂;提上险肌缩短前徙术;眼整形 [中固分类号]R622 [文献标识码]A [文章编号]1008-6455(2008)02-03 The Observl。例。n of using levalor reseclion 10 Ireat severe congenilal blephαroplosis CHEN Tao. LI Dong-mei.ZHAO Ying.QIN Yi Department of Ophthalmology,Beijing Tongren Hospital Appertaining to Capital Medicine University,Beijing 1)()730,China) Abstract: Objective To evaluate the effect of classic levator resection in treating severe ∞ngenital potosis. Methods 64 cases (82 eyes)of severe congenital potosis with the power of levator muscle 4mm were treated with levator resection. Results Only 3 cases occur potosis again during observation ,we did another operation of levator resection again for two of them and the outcom is satisfied. In this article we also discussed some skills about this operation. Conclusion The most of the severe congenital potosis cases can be cured or ameliorated by the levator resection and some skills can help us to avoid complications. Key words: potosis; shortening palpabralis; ocular plastic surgery 先天性上险下垂在人群中发病率为 0.12%(1]， 2 手术方法 均选用经皮肤切口入路的外路法提上险肌缩 是一种眼科常见疾病。其发病原因为提上险肌发育 短前徙术。手术在局部麻醉下进行=①切口设计:以 不良。重度先天性上险下垂上险遮盖幢孔1/2 以 美蓝在重险线水平画线，应参照对侧重险高度:若 上，提上险肌肌力4阻。对于重度先天性上险下垂