摘要
目的 探讨儿童额肌瓣悬吊术并发症的发生原因及防治措施.方法 对行额肌瓣悬吊术的122例病人临床资料进行回顾性分析.结果 发生并发症19只眼,发生率为13.67%,其中矫正不足5只眼（3.6%）,倒睫5只眼（3.6%）,角膜上皮脱落2只眼（1.44%）,缝线滑脱1只眼（0.72%）,矫正过度1只眼（0.72%）,眉额区血肿3只眼（2.15%）,上穹窿结膜脱出1只眼（0.72%）,角膜溃疡1只眼（0.72%）.结论 儿童额肌瓣悬吊术受手术者临床经验及患者个体差异的影响,可能出现各种并发症而影响手术效果,但术前充分的准备、术中精心的操作、术后细心地观察和处理,并发症是能够预防和避免的.
Objective To analyze the reasons of complications after frontal muscle flap suspension for congenital ptosis and possible preventing measures. Methods The clinical data of 122 patients with congenital ptosis who underwent frontal muscle flap suspension at the Department of Ophthalmology of Shenzhen Children＇s Hospital were retrospectively analyzed. Results Complications occurred in 19 eyes （13.67%）. The complications include undercorrection in 5 eyes （3.6%）, entropion and trichiasis in 5 eyes （3.6%）, corneal epithelial defects in 2 eyes （1.44%）, suture slippage in 1 eye （0.72%）, overcorrection in 1 eye （0.72%）, hematoma in the eyebrow region in 3 eyes （2.15%）, prolapse of the superior fornix conjunctivae in 1 eye （0.72%）, corneal ulcers in 1 eye （0.72%）. Conclusions The outcome of frontal muscle flap suspension is influenced by the surgeon＇s clinical experience and the patients＇ individual variation, therefore may result in various complications and limit cosmetic and functional improvement. However, with adequate pre-operative examination, careful intra-operative procedure and appropriate post-operative observation and management, most complications can be prevented and avoided.
出处
《中国实用眼科杂志》
CSCD
北大核心
2010年第12期1352-1353,共2页
Chinese Journal of Practical Ophthalmology
关键词
先天性土睑下垂
额肌瓣悬吊术
并发症
Congenital ptosis
Frontal muscle flap suspension
Complications
