摘要
目的观察上睑肌缩短术和额肌瓣悬吊术矫治先天性中度上睑下垂患者的临床疗效和安全性。方法对我院2010年5月至2012年5月收治的108例先天性中度上睑下垂患者进行手术治疗,其中56例采用上睑肌缩短术治疗(A组),52例采用额肌瓣悬吊术治疗(B组),比较两种不同手术术式矫治的临床疗效以及不良反应发生情况。结果 A组中53例患者的手术治疗效果较好,有效率为94.6%,B组有效率为71.2%,两组间的差异具有统计学意义(P<0.05)。大部分患者术后视力均有不同程度提高,但A组术后并发症的发生率(7.1%)明显低于B组(23.1%),其差异具有统计学意义(P<0.05)。结论上睑提肌缩短术是矫治先天性中度上睑下垂的良好方法。
Objective To investigate the clinical effect and safety of the technique by shortening the levator palpebrae superior muscle and the musculus frontalis flap suspension surgery for morderate congenital blepharoptosis.Methods One hundred and eight patients with morderate congenital blepharoptosis were analyzed and divided into two groups randomly to receive different operative treatments from May 2010 to May 2012.Fifty-six patients were selected and operated by shortening the levator palpebrae superioris musle（Group A）,while 52 patients were operated with frontal muscle suspension（Group B）.The clinical effect and adverse reactions were compared between the two different operation modes for morderate congenital blepharoptosis.Results In group A,53 patients were well corrected after surgery in Group A,and the effect rate was 94.6%,which was higher than that in Group B（71.2%）,with significantly difference between the two groups（P0.05）.Most patients＇ vision were improved to varying degress acuity,the incidence of complications in Group A and Group B were 6.25% and 23.1%,respectively,with significant difference（P0.05）.Conclusion The method of shortening the levator palpebrae superior muscle can be taken as first choice for congenital blepharoptosis.
出处
《海南医学》
CAS
2013年第6期817-819,共3页
Hainan Medical Journal
关键词
上睑肌缩短术
额肌瓣悬吊术
先天性
中度上睑下垂
Shortening of levator palpebrae superioris muscle
Frontal muscle suspension
Congenital
Blepharoptosis
