摘要
目的:探讨腱膜性上睑下垂的手术治疗方法及效果。方法:本组病例共9例12眼,男4例5眼,女5例7眼,均表现为后天性上睑下垂,上睑缘遮盖1/2～1/3瞳孔,提上睑肌肌力均在10mm以上,伴有上眶区凹陷,上睑皱壁增高,部分患者行新斯的明试验排除重症肌无力。手术均在局部麻醉下行提上睑肌腱膜分离修复术。结果:术后3～4wk内患者均有不同程度眼睑肿胀,眼睑闭合不全逐渐消失,随访4～18mo,患者双眼睑重睑基本对称,弧度流畅,上睑下垂矫正,上眶区凹陷明显改善,未出现眼睑内外翻及眼睑畸形等并发症,有1眼欠矫。结论:腱膜性上睑下垂行提上睑肌腱膜分离修补术,此法符合解剖和生理,保存了M櫣ller肌及提上睑提肌的内、外角,维持了眼睑正常结构。手术过程简单,损伤范围小,术后反应轻、效果好。
AIM：To investigate the aponeurotic ptosis surgery and the treatment effect. ·METHODS：Nine cases（12 eyes） ,male 4 cases（5 eyes） ,female 5 cases（7 eyes） ,suffering from posteriority ptosis,1/2-1/3 pupil covered by upper palpebral margin,the upper eyelid muscle strength more than 10mm,accompanied by the orbital zone depression with the upper eyelid fold increased. Neostigmine test were used to exclude myasthenia gravis. Levator muscle of upper eyelid surgery and tendon membrane separation were both performed under local anesthesia. ·RESULTS：After 3-4 weeks,patients occured varying degrees of swelling of the eyelids. Incomplete eyelid closure dribbled away. Followed up for 4-18 months,double-eyelids of patients were basic symmetry;the arcs were smooth;ptosis was corrected;depression of the upper orbital region was improved obviously;and no complications appeared,such as entropion and ectropion of the eyelid and eyelid deformity.Only 1 eye was rectified insufficiently.·CONCLUSION：Levator muscle of upper eyelid surgery and tendon membrane separation seems to be in line with the anatomy and physiology and preserve inside and outside of foot of Muller and levator muscle which can maintain the normal structure of the eyelid. Operation process is simple,small scope damage,light response after operation and good effect.
出处
《国际眼科杂志》
CAS
2009年第9期1827-1828,共2页
International Eye Science
关键词
腱膜性上睑下垂
提上睑肌
手术
aponeurotic ptosis
levator muscle of upper eyelid
operation
