摘要
目的:探究提上睑肌与上直肌联合筋膜鞘(Conjoint fascial sheath,CFS)悬吊术矫正重度上睑下垂的临床疗效。方法:2016年1月-2016年12月笔者医院收治了18例重度上睑下垂患者,其中单侧11例,双侧7例,共25只患眼。应用CFS悬吊术对其进行矫正,术后随访6~12个月。结果:术后12个月内患者治愈率达84.0%(21/25),改善率达16.0%(4/25),总体治疗有效率达100%(25/25),术后9只眼闭合不全,4只眼结膜水肿,经处理,术后6个月内上述并发症消失,手术总体效果较为理想。结论:采用CFS悬吊术矫正重度上睑下垂具有疗效好、并发症少、创伤小、术后上睑形态自然等优点。
Objective To explore clinical efficacy of suspension of the levator muscle and superior rectus muscle conjoint fascia sheath（CFS） in the treatment of severe upper eyelid ptosis. Methods From January 2016 to December 2016, 18 patients with severe upper eyelid ptosis were treated with conjoint fascial sheath of the levator muscle and superior rectus muscle in our hospital, including 11 cases with upper eyelid ptosis on one side and 7 cases on both sides, a total of 25 eyes. CFS suspension was used for correction, followed up for 6-12 months. Results The cure rate was 84.0%（21/25）,the improvement rate was 16.0%（4/25）, the total effective rate was 100%（25/25）. Some patients had postoperative complications, including 9 eyes with incomplete closure and 4 eyes with conjunctival edema, all complications disappeared within 6 months after operation. Conclusion The use of CFS suspension for correction of severe upper eyelid ptosis has the advantages of good curative effect, less complications, less trauma, and natural morphology of the upper eyelid after operation
作者
孙露
林金德
陈小平
王昕
SUN Lu,LIN Jin-de,CHEN Xiao-ping,WANG Xin(Nanjing Medical University Freiendship Plastic Surgery Hospital,Nanjing 210000,Jiangsu,Chin)
出处
《中国美容医学》
CAS
2018年第7期4-6,共3页
Chinese Journal of Aesthetic Medicine
关键词
联合筋膜鞘
上睑提肌
上直肌
上睑下垂
conjoint fascial sheath（CFS）
levator muscle
superior rectus muscle
upper eyelid ptosis
