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目的 总结过去 2 0年中 ,使用不同的手术方法治疗 74例先天性睑裂狭小综合征的远期效果。方法 针对 74例先天性睑裂狭小综合征的临床特点 ,采用Ⅰ期或Ⅱ期的内外眦开大术和 /或上睑下垂矫正术 ,2 4例患者接受了最长达 9年的术后随访。结果 54例矫正内眦赘皮常规采用墨氏法 (Mus tarde法 ) ,但对 2 0例轻度者采用了其他的内眦成形术 ;行内眦开大术时 ,3 6例选择性的施行了内眦韧带缩短术 ;在无上睑横向张力增加的情况下 ,3 3例选择行Ⅰ期先天性睑裂狭小综合征矫正术 ,其余 41例行Ⅱ期矫正 ;经随访 ,Ⅰ期和Ⅱ期均能获得满意的手术效果 ;对患者合并的其他畸形 ,应根据情况待成年后酌情处理。结论 在正确选择手术适应证的情况下 ,采用Ⅰ期或Ⅱ期的内外眦开大术和 /或上睑下垂矫正术治疗先天性睑裂狭小综合征 ,均能取得较好的效果
Objective To summarize the long-term results of 74 cases of congenital palpebral fissure syndrome treated with different surgical methods in the past 20 years. Methods According to the clinical features of 74 cases of congenital blepharophimosis syndrome, stage Ⅰ or Ⅱ internal and external popliteal surgery and / or ptosis correction were performed. Twenty-four patients underwent surgery for up to 9 years Follow-up. Results 54 cases of correction of epicanthus were performed by the Musalode method, but other 20 cases of mild angioplasty were used. In the case of large open surgery, 36 cases were selectively performed In the case of no increase in the transverse tension of the upper eyelid, 33 patients underwent primary I-phase congenital blepharophimosis syndrome and the remaining 41 patients underwent phase II correction. After follow-up, stage I and II Period can get satisfactory surgical results; the other patients with malformations, according to the situation to be treated as adults, as appropriate. Conclusion In the correct choice of surgical indications, the use of stage I or II open surgery and / or ptosis correction of congenital blepharophimosis syndrome can achieve better results