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观察以改良颞肌束移位术矫治的麻风性兔眼12例,发现手术后闭眼时睑裂宽度<1mm者3人3眼,1～3mm者6人9眼,疗效优良者占66.7％;闭眼时睑裂虽为4～5mm,但较术前有明显改善者4人6眼,有效率100％。改良颞肌束移位术是对颞肌束移位加筋膜条悬吊术的改良,区别在于上股筋膜条通过上睑缘皮下隧道后缝接于上睑内中1/3交界处的睑板上,而并非缝于内眦韧带上,其优点是有利于调节张力,避免上下筋膜条因牵引点与着力点一致而造成睁眼困难。
Observed in 12 cases of leprosy rabbit eyes corrected by temporal muscle bundle transposition, it was found that there were 3 eyes of 3 eyes, 1 eyes of 6 eyes and 9 eyes of 1 ~ 3 mm when the width of the palpebral fissure was less than 1mm after eyes closed. The effective rate was 66.7% Although the eye palpebral fissure 4 ~ 5mm, but significantly improved compared with preoperative 4 people 6 eyes, the effective rate of 100%. Modified temporal fasciculus transposition is a modification of the tendon fasciculation of the temporal fasciculus with the difference that the superior fascia is sutured to the middle 1/3 of the upper eyelid through the upper eyelid subcutaneous tunnel Of the tarsal, rather than sewn ligaments, its advantage is conducive to adjust the tension, to avoid the upper and lower fascia due to the traction point and focus point caused by difficulty in opening eyes.