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作者设计了麻痹性睑闭不合尼龙线矫正术,经50例66眼的临床观察,此手术具有:病人易接受,尼龙线较韧,不易松断,对组织反应轻,能永久固定在眶缘的骨膜上,而不易被吸收,保持开闭眼睑,既不影响视功能,又能保护角膜。所需器械少,操作简单易掌握,手术时间短,对严重者能防治暴露性眼炎及其后遗症,轻者能完全闭合或基本闭合眼睑,达到美容的目的等优点,现介绍如下,请指正。一、手术适应症:各种原因所致的眼轮匝肌无力症的麻痹性睑闭不合眼。二、手术步骤:常规消毒0.3%狄卡因表面麻痹和普鲁卡因局部麻醉。铺敷布:①下睑睑闭不合尼龙线矫正术:以下睑麻痹为
The author designed a paralytic eyelid closed non-nylon line correction, the clinical observation of 50 cases of 66 eyes, the surgery has: the patient is easy to accept, the nylon line is relatively tough, not easy to loose, the reaction to the tissue light, can be permanently fixed in the orbital margin Of the periosteum, and not easily absorbed, keep opening and closing eyelids, neither affect visual function, but also protect the cornea. Less equipment required, simple and easy to operate, operation time is short, in severe cases can prevent exposure of ophthalmia and its sequelae, the light can be completely closed or closed the eyelid, to achieve the purpose of beauty, etc., are introduced below, please correct me . First, the indications for surgery: various causes of orbicularis oculi muscle weakness of the paralytic eyelid closed eyes. Second, the surgical procedures: routine disinfection of 0.3% of the surface anesthetic and procaine cardinal anesthesia. Laying cloth: ① lower eyelid closed nylon line correction surgery: the following eyelid paralysis