摘要
目的探讨一期采用上睑提肌-额肌吻合联合L形内眦成形术治疗轻度小睑裂综合征的临床疗效。方法回顾性分析采用上睑提肌-额肌瓣吻合联合L形内眦成形术治疗轻度小睑裂综合征患者22例44只眼，术后随访6-12月（平均10月）。结果术后所有患者的重度上睑下垂、逆向内眦赘皮、下睑内翻均得到矫正，术后睑裂长度和内眦间距较术前明显改善，内眦部无明显瘢痕形成，眼部外观满意，未发生睑内翻及暴露性角膜炎等并发症。结论上睑提肌-额肌吻合联合L形内眦成形术治疗轻度小睑裂综合征手术简单经济、疗效确切，值得临床推广。
Objective To evaluate the clinical efficiocy of one-stage technique of combining levator palpebrae superioris-frontal muscle anastomossis with L Sfiaped medial canthoplasty on the management of mild blepharophimosis syndrome. Methods This retrospective study was undertaken with 22 mild blepharophimosis syndrome patients who underwent one-stage correction. All patients were operated with levator palpebrae superioris-frontal muscle anastomossis, combined with L shaped medial canthoplasty. The follow up periods of postoperative ranged from 6 to 12 months （mean=10 months）. Results The bilateral ptosis, inversus epicanthus and blepharelosis were corrected perfectly. The horizontal palpebral fissure length and inner intercanthal distance showed significant improvement after surgery statistically （P 〈0.001）. Neither exposing keratitis nor blepharelosis occurred during the follow up periods. Scarring in the medial canthal region was not obvious without close inspection. All patients were satisfied with their appearances. Conclusions The modified one-stage technique of combining levator palpebrae superioris-frontal muscle anastomossis with L shaped medial canthoplasty can achieve favorable outcomes to the patients with mild blepharophimosis syndrome.
出处
《中国实用眼科杂志》
CSCD
北大核心
2012年第11期1364-1366,共3页
Chinese Journal of Practical Ophthalmology
关键词
小睑裂综合征
上睑提肌-额肌吻合术
L形内眦成形术
Blepharophimosis syndrome
Levator palpebrae superioris-frontal muscle anastomoss- is
L shaped medial canthoplasty
