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目的观察上睑下垂的各种术式的临床疗效,为选择合理的手术方法提供理论和依据。方法分析我院2003年1月-2009年1月间130例180眼已施行上睑下垂手术的患者,根据不同的术式可分为两组:额肌瓣转移悬吊术和提上睑肌复合体的手术。对患者行半年的术后随访进行分析,比较两组的手术疗效。结果全部患者中,5例术后短期欠矫病例,重新打开切口上调提上睑肌固定位置;1例半年后复发,再次手术发现缝线脱落给予修复;1例结膜脱垂病例切除脱垂结膜后加压包扎;2例过矫给予松解提上睑肌调整睑缘位置,均达到了美容效果。结论先天性上睑下垂应及早手术,可防止儿童弱视和心理障碍。获得性上睑下垂病因多种,应根据不同病因先进行治疗,待病情稳定半年后选择不同的手术方式。根据病情选择合适的术式,减少并发症的发生。
Objective To observe the clinical curative effect of various surgical methods of ptosis and to provide the theory and basis for choosing a reasonable surgical method. Methods Analysis of 130 cases of 180 patients with ptosis surgery in our hospital from January 2003 to January 2009 were divided into two groups according to different surgical procedures: frontal muscle flap transfer and suspension and upper levator muscle Complex surgery. Patients were followed up for six months for follow-up analysis, the two groups were compared. Results In all the patients, 5 cases were short-term undercorrection after operation, reopened the incision and raised the levator muscle fixed position; 1 case relapsed after 6 months, and the suture was found to be repaired again by surgery; 1 case of prolapsed conjunctival resection After pressure bandaging; 2 cases of over correction to release the levator palpebrae muscle position, have reached a cosmetic effect. Conclusions Congenital ptosis should be treated as early as possible to prevent amblyopia and psychological disorders in children. Acquired psoriasis causes a variety of causes should be based on the treatment of different causes, to be stable after six months to choose a different surgical approach. According to the disease to choose the appropriate surgical procedures to reduce the incidence of complications.