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联合筋膜鞘悬吊术治疗中重度上睑下垂

李欣 陆孟婷 蒋艳 周文轲 郑雨蒙 邬涵韵 张黎

局解手术学杂志2018,Vol.27Issue(5):333-336,4.
局解手术学杂志2018,Vol.27Issue(5):333-336,4.DOI:10.11659/jjssx.04E018061

联合筋膜鞘悬吊术治疗中重度上睑下垂

Clinical study on conjoint fascial sheath suspension in the treatment of moderate and severe ptosis

李欣 1陆孟婷 1蒋艳 1周文轲 1郑雨蒙 1邬涵韵 1张黎1

作者信息

  • 1. 重庆医科大学附属第一医院眼科、眼科学重庆市重点实验室、重庆市眼科研究所,重庆400016
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摘要

Abstract

Objective To investigate whether the conjoint combined with fascial sheath( CFS) suspension can be used as an effective method for correction of moderate and severe ptosis. Methods Thirty-five patients (39 eyes) with moderate or severe ptosis were treated in our hospital from January 2014 to March 2017 by means of CFS suspension,frontalis suspension and shortening of levator palpebrae superior-is,and all the patients were followed up for 3~12 months. Results The CFS suspension and the other two operations appeared effective;and compared with the other two methods,the difference was statistically significant(P<0. 05). The CFS suspension for the treatment of moderate and severe ptosis with a higher positive rate(95%) and the positive rate of the other two methods was 67%. In terms of complications,the CFS suspension showed eyelid dysraphism incidence rate was exposure keratitis occurred in 85. 7% and entropion occurrence rate of 4. 7%;with the other two methods,the surgical eyelid dysraphism occurred in 100% and the conjunctival prolapse occurred in 5. 6%. Conclusion The CFS suspension in correction of moderate and severe ptosis has the advantages of less trauma,less complications and good correction effect.

关键词

上睑下垂/联合筋膜鞘悬吊术/提上睑肌缩短术/额肌悬吊术

Key words

ptosis/conjoint fascial sheath suspension/shortening of upper eyelid levator muscle/frontalis suspension

分类

医药卫生

引用本文复制引用

李欣,陆孟婷,蒋艳,周文轲,郑雨蒙,邬涵韵,张黎..联合筋膜鞘悬吊术治疗中重度上睑下垂[J].局解手术学杂志,2018,27(5):333-336,4.

基金项目

小儿眼病筛查与诊治技术规范推广及指导(cstc2015jcsf10012-2) (cstc2015jcsf10012-2)

局解手术学杂志

OACSTPCD

1672-5042

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