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研究目的探讨额肌悬吊术治疗上睑下垂的疗效。研究设计用额肌悬吊术治疗上睑下垂71例103只眼,观察其疗效。研究单位新乡市第一人民医院眼科新乡铁路医院研究对象上睑下垂71例,103只眼;双眼29例,单眼42例;年龄最小1.5岁,最大62岁;其他手术失败者9例,其中4例为第三次手术;103只眼中,92只眼为重度,11只眼为中度。处理方法术前测量额肌肌力,提上睑肌肌力,下垂量,眉睫间距离,上睑皮肤伸展度。按重睑术设计切口,沿皮下向上分离至眉上1.5～2cm,在眶上缘眼轮匝肌与额肌交界处横行剪开约2～2.5cm,在额肌下分离范围同上,游离额肌,通过睑部轮匝肌下,将额肌固定在1/2睑板上,皮肤按重睑术缝合。结果用此术式治疗后,睑裂闭合不全较其他术式恢复快,睁闭眼自如,无疤痕,随访3年多,受术者均达到双眼重睑一致。结论额肌悬吊术是治疗上睑下垂的理想术式。
Objective To investigate the curative effect of frontal muscle suspension for the treatment of blepharoptosis. Study design Frontal muscle suspension in the treatment of ptosis in 71 cases 103 eyes, observe its efficacy. Research Unit First People’s Hospital of Xinxiang City Xinxiang Railway Hospital ophthalmic subjects 71 cases of ptosis, 103 eyes; 29 eyes, monocular 42 cases; the youngest 1.5 years old, maximum 62 years; other surgical failure in 9 cases, of which 4 The third operation was performed; in 103 eyes, 92 eyes were severe and 11 eyes were moderate. Methods Preoperative measurement of frontal muscle strength, levator muscle strength, amount of sagging, distance between the eyebrows, upper eyelid skin extension. According to the double eyelid surgery incision, separated from the subcutaneous up to the brow on the 1.5 ~ 2cm, orbital margin of the orbicularis muscle and frontal muscle at the junction of transverse cut about 2 ~ 2.5cm, in the frontal muscle separation range above, the amount of free Muscle, through the eyelid orbicularis muscle, the frontal muscle fixed in the 1/2 tarsal, the skin sutured by double eyelid. Results With this surgical treatment, palpebral fissure incompetence faster recovery than other procedures, eyes open and comfortable, no scars, followed up for more than 3 years, by the surgeon to achieve double eyelid coincidence. Conclusion The amount of muscle suspension surgery is the ideal surgical treatment of ptosis.