组织工程与重建外科杂志2025，Vol.21Issue(5)：430-435,6.DOI:10.3969/j.issn.1673-0364.2025.05.003
"三平面分离联合双Ω缝合"改良联合筋膜鞘悬吊术治疗重度上睑下垂的疗效评价
Efficacy of a modified conjoint fascial sheath suspension technique with tri-plane dissection and double omega suture for severe blepharoptosis correction
席文文 1和子晴 1陈杰 1肖霞 1黄美芳 1王楚卿 1谭建华 1杨锋1
作者信息
- 1. 421001 湖南省衡阳市 南华大学附属第二医院整形美容科
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy and safety of a modified conjoint fascial sheath(CFS)suspension technique incorporating tri-plane dissection and double omega suture for the correction of severe blepharoptosis,and to establish a standardized surgical protocol.Methods In this retrospective cohort study,151 patients(177 eyes)with severe blepharoptosis treated between August 2023 and December 2024 were enrolled.Participants were divided into two groups,a conventional CFS suspension group(75 patients,85 eyes)and a modified CFS group(76 patients,92 eyes)that underwent tri-plane dissection combined with double omega suture technique.Surgical efficacy,eyelid retraction,lagophthalmos,complication rates,and patient satisfaction were compared between the two groups with a minimum follow-up of 6 months.Results The modified technique demonstrated significantly higher overall correction efficacy(96.74%vs 87.06%;χ2=5.697,P=0.017),lower complication rate(χ2=4.247,P=0.039),and complete avoidance of conjunctival prolapse.Patient satisfaction was significantly higher in the modified group(93.42%vs 81.33%;χ2=5.008,P=0.0252).Conclusion The modified CFS technique utilizing tri-plane dissection and double omega suture represents a safe,effective,and standardized approach for severe blepharoptosis correction.This innovative method enhances surgical outcomes through refined anatomical dissection,biomechanical optimization,and suture technique innovation,demonstrating significant clinical applicability.关键词
上睑下垂/联合筋膜鞘/三平面分离/双Ω缝合Key words
Blepharoptosis/Conjoint fascial sheath/Tri-plane dissection/Double omega suture分类
医药卫生引用本文复制引用
席文文,和子晴,陈杰,肖霞,黄美芳,王楚卿,谭建华,杨锋.."三平面分离联合双Ω缝合"改良联合筋膜鞘悬吊术治疗重度上睑下垂的疗效评价[J].组织工程与重建外科杂志,2025,21(5):430-435,6.
