摘要
目的 比较额肌瓣悬吊术和上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征的疗效.方法 回顾性分析采用额肌瓣悬吊术、上睑提肌腱膜-额肌瓣吻合术治疗Marcus-Gunn综合征20例20只眼.比较两组手术的疗效.结果 额肌瓣悬吊术组和上睑提肌腱膜-额肌瓣吻合术组均能有效治疗Marcus-Gunn综合征.但前者术后有2例睑缘弧度不自然（25%）,3例半年后仍眼睑闭合不全.后者术后睑缘弧度均较自然,半年后无眼睑闭合不全.结论 额肌瓣悬吊术和上睑提肌腱膜-额肌瓣吻合术均能有效治疗Marcus-Gunn综合征,但后者更符合眼睑生理解剖,术后睑缘弧度更自然.
Objective To evaluate the therapeutic effect of frontal muscle suspension and levator palpebrae superioris-frontal muscle anastomossis on the management of Marcus-Gunn syndrome. Methods Twenty eyes of 20 Marcus-Gurm syndrome patients were enrolled in this retrospective study, which were treated with frontal muscle suspension （8 eyes） or levator palpebrae superioris-frontal muscle anastomossis （ 12 eyes）, and the therapeutic effect of these two operation types were evaluated. Results Both the frontal muscle suspension and levator palpebrae superioris-frontal muscle anastomossis can effectively treat Marcus-Gunn syndrome. However, within the cases of frontal muscle suspension, 2 eyes had abnormal radian of limbus palpebralis and 3 eyes had hypophasis 6 months after operation. Conclusions Both the frontal muscle suspension and levator palpebrae superioris-frontal muscle anastomossis can effectively treat Marcus-Gurm syndrome. The levator palpebrae superioris-frontal muscle anastomossis is better because of the normal radian of limbus.
出处
《中国实用眼科杂志》
CSCD
北大核心
2009年第10期1094-1096,共3页
Chinese Journal of Practical Ophthalmology
