摘要
目的 探讨老年性上睑下垂不同术式的效果.方法 将89例（107眼）老年性上睑下垂患者分为轻度（33眼）、中度（38眼）、重度（36眼）3组：轻度组中17眼施以提上睑肌腱膜折叠术,16眼施以提上睑肌缩短及徙前术;中度组中13眼施以提上睑肌腱膜折叠术,13眼施以提上睑肌缩短及徙前术,12眼施以提上睑肌腱膜瓣-额肌吻合术;重度组中12眼施以提上睑肌腱膜折叠术,12眼施以提上睑肌缩短及徙前术,12眼施以提上睑肌腱膜瓣-额肌吻合术,观察治疗效果.结果 随访3～6个月,轻度组中提上睑肌腱膜折叠术术后效果1级率为100.00％,提上睑肌缩短及徙前术为50.00％;中度组中提上睑肌腱膜折叠术1级率为30.77％,提上睑肌缩短及徙前术为92.31％,提上睑肌腱膜瓣-额肌吻合术为58.33％;重度组中提上睑肌腱膜折叠术1级率为25.00％,提上睑肌缩短及徙前术为50.00％,提上睑肌腱膜瓣-额肌吻合术为100.00％.结论 老年性上睑下垂患者应根据患者的不同临床特点选择适宜的手术方式,轻度者施以提上睑肌腱膜折叠术,中度者施以提上睑肌缩短及徙前术,重度者施以提上睑肌腱膜瓣-额肌吻合术,进行个性化的治疗,以迭最佳矫正效果.
Objective To study the effect of different operative modes for treating senile ptosis. Methods Eighty-nine cases （107 eyes） of senile ptosis were divided into the mild ptosis（33 eyes） ,moderate ptosis（38 eyes） and severe ptosis（36 eyes）. In the mild group, 17 eyes received eyelid tendon membrane fold operation and 16 eyes received eyelid muscle shortening and migration operation. In the moderate group, 13 eyes received eyelid tendon membrane fold operation, 13eyes received eyelid muscle shortening and migration operation and 12 eyes received eyelid tendon membrane disc-frontal muscle anastomosis. In the severe group, 12 eyes received eyelid tendon membrane fold, 12 eyes received eyelid muscle shortening and migration and 12 eyes received eyelid tendon membrane disc-frontal muscle anastomosis. Then the therapeutic effects were observed. Results After 3-6 months follow-up, the grade 1 rate of postoperative effect for eyelid tendon membrane fold in the mild group was 100M and which of eyelid muscle shortening and migration was 50 % ;in the moderate group, the grade 1 rate of eyelid tendon membrane fold was 30.77%, which of eyelid muscle shortening and migration was 92. 31 % and Which of eyelid tendon membrane disc-frontal muscle anastomosis was 58.33%; in the severe group, the grade 1 rate of eyelid tendon membrane fold was 25 % ,which of eyelid muscle shortening and migration was 50% and which of eyelid tendon membrane disc-frontal muscle anastomosis was 100%. Conclusion The patients with senile ptosis should select suitable operation mode according to the different clinical characteristics of patients, the patients with mild ptosis should receive eyelid tendon membrane fold,those with moderate ptosis should receive eyelid muscle shortening and migration and those with severe ptosis should receive eyelid tendon membrane disc-frontal muscle anastomosis, the individualized therapy should be conducted for reaching th optimal correcting effect.
出处
《重庆医学》
CAS
北大核心
2016年第31期4363-4365,共3页
Chongqing medicine
