摘要
目的 研究改良联合筋膜鞘(conjiontfascial sheath,CFS)悬吊联合提上睑肌复合体缩短术治疗重度上睑下垂的临床有效性。方法 选取2022年1月至2023年5月北京丰台右安门医院医疗美容科收治的采用改良CFS悬吊联合提上睑肌复合体缩短术治疗的18例重度上睑下垂患者为观察组,另选择同期采用标准的CFS悬吊联合提上睑肌复合体缩短术治疗的18例重度上睑下垂患者为对照组。观察组手术方法对标准术式进行改良,即不直接在睑板上缘切开分离提上睑肌腱膜,而改为在上横韧带上方剪开提上睑肌腱膜并暴露CFS。比较两组患者在术后睑裂垂直高度(palpebral fissure height,PFH)和边缘反射距离(margin regles distance 1,MRD1)、术后并发症发生率及满意度之间的差异。结果 术后1个月、3个月和12个月测量两组患者的PFH值及MRD1值,进行组间比较,差异无统计学意义(P>0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组的满意度显著高于对照组,差异有统计学意义(P<0.05)。结论 改良CFS悬吊联合提上睑肌复合体缩短术治疗重度上睑下垂,具有安全高效、并发症少、患者满意度高等优势,此方法值得在临床推广应用。
Objective To Study the clinical effectiveness of the modified suspension of the combined fascia sheath(CFS)and shortening of the levator muscle complex in the treatment of severe ptosis.Methods From January 2022 to May 2023,18 patients with severe ptosis treated with modified CFS suspension combined with levator muscle complex shortening surgery at the Medical Aesthetics Department of Beijing Fengtai You'anmen Hospital were selected as the observation group,and another 18 patients with severe ptosis treated with standard CFS suspension combined with levator muscle complex shortening surgery during the same period were selected as the control group.The observation group's surgical method was improved from the standard procedure,which did not directly separate the levator muscle aponeurosis at the upper edge of the meibomian plate,but instead cut open the levator muscle aponeurosis above the transverse ligament and exposed CFS.Compare the differences between two groups of patients in terms of postoperative palpebral fissure height(PFH),margin regles distance 1(MRD1),postoperative complication rate,and satisfaction.Results The PFH and MRD1 values of two groups of patients were measured at 1,3,and 12 months after surgery,and compared between the groups.There was no statistically significant difference(P>0.05).The incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction level of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The improved combination of fascial sheath suspension and levator muscle shortening surgery for the treatment of severe ptosis has the advantages of safety,high efficiency,stable therapeutic effect,and few complications.This method is worth promoting and applying in clinical practice.
作者
匡建国
刘强
KUANG Jianguo;LIU Qiang(Department of Medical Aesthetics,Beijing Fengtai Youanmen Hospital,Beijing City,100069,China;Burn and Plastic Surgery,Beijing Fengtai Youanmen Hospital,Beijing City,100069,China)
出处
《中国医疗美容》
2024年第8期42-45,共4页
China Medical Cosmetology
关键词
联合筋膜鞘
提上睑肌缩短术
改良术式
重度上睑下垂
conjoint fascial sheath
shortening of levator palpebrae superioris muscle
improved surgical technique
severe ptosis of the upper eyelid
