摘要
目的:通过对先天性小睑裂综合征分期手术的疗效及患者满意度的分析,为临床治疗先天性小睑裂综合征的手术方式的选择提供参考。方法:回顾性分析在上海交通大学附属第九人民医院眼科进修学习时处置的先天性小睑裂综合征分期手术的患者3例46眼,其中患者6例12眼有家族遗传史,2例4眼斜视,1例2眼眼球震颤。平均在5±1. 9岁行Ⅰ期手术,6±2. 7岁行Ⅱ期手术,手术分为Ⅰ期"Y-V"成形术、VonAmmon外眦成形术和Ⅱ期额肌瓣悬吊手术,术后随访观察12mo,评价与分析其疗效并行患者满意度评分。结果:睑裂长度(PFL)从术前右眼17. 83±3. 1mm,左眼7. 87±2. 9mm延长至术后右眼23. 59±1. 7mm,左眼23. 59±1. 8mm;睑裂高度(PFH)从术前右眼2. 91±1. 4mm,左眼. 91±1. 2mm提高至术后右眼7. 89±0. 9mm,左眼7. 89±. 7mm;内眦赘皮的长度从术前18. 7±2. 1mm减少至术后7. 8±1. 8mm;内眦赘皮的宽度从术前3. 9±0. 8mm减少至术后1. 3±0. 8mm;内眦间距(IICD)从术前37. 70±3. 3mm缩短至术后30. 70±2. 6mm;角膜反射光点至上睑缘的距离(MRD1)从术前右眼-1. 67±1. 6mm,左眼-1. 80±1. 6mm均上升至术后右眼+3. 35±0. 7mm,左眼+3. 35±0. 6mm;IICD/PFL从术前2. 1±0. 2下降至术后1. 3±0. 4。满意度评分47±2. 1(满分60)分,患者对手术疗效及术后美容表现出较高满意度。结论:先天性小睑裂综合征患者通过分期手术即Ⅰ期"Y-V"成形术、Ammon外眦成形术和Ⅱ期额肌瓣悬吊手术。
AIM： To provide a reference for the selection of surgical methods for the clinical treatment of blepharophimosis-ptosis-epicanthus inversus syndrome by analyzing the efficacy and patient satisfaction of congenital blepharoplasty patients. METHODS： A retrospective analysis of blepharophimosis-ptosis-epicanthus inversus syndrome staging surgeries included 23 cases（ 46 eyes）,in which 6 patients（ 12 eyes） had family history,2 patients（ 4 eyes）of strabismus,1 patients（ 2 eyes） of nystagmus. First-stage surgery of＂Y-V＂plasty and Ammon canthoplasty were performed at average age of 5± 1.9; second-stage surgery of frontal muscle flap suspension were performed at average age of 6± 2.7. Postoperative follow-up lasted for 12 mo. We evaluated and analyzed the efficacy,asked the patients to give the score to the surgeries.RESULTS： Palpebral fissure length（ PFL） was extended from 17.83±3.1 mm in the right eye and 17.87±2.9 mm in the left eye to 23.59±1.7 mm and 23.59±1.8 mm after surgeries.The palpebral fissure height（ PFH） was increased from 2.91±1.4 mm in the right eye and 2.91±1. 2 mm in the left eye to 7.89±0.9 mm in the right eye and 7.89±0.7 mm in the left eye after surgeries. The length of epicanthus was reduced from 18.7±2.1 mm to 7.8±1. 8 mm after surgeries. The width of epicanthus was reduced from 3.9±0.8 mm before surgeries to 1.3±0.8 mm after surgeries. The inner canthal spacing（ IICD） was shortened from 37.70±3.3 mm before surgeries to 30. 70 ± 2. 6 mm after surgeries. The distance from the upper eyelid margin of the corneal reflector to the upper eyelid（ MRD1） increased from-1.67±1.6 mm of the right eye before surgery,and-1.80±1.6 mm of the left eye to the postoperative ＋3.35±0.7 mm in the right eye and＋3.35±0.6 mm in the left eye. IICD/PFL decreased from 2.1±0.2 to 1.3±0.4 postoperatively. The satisfaction score was47±2.1（ full score was 60）,and the patient was more satisfied with the curative effect and postoperative beauty. CONCLUSION： T
作者
刘伟
林明
孙英
Wei Liu1, Ming Lin2, Ying Sun2(1.Department of Ophthalmology, Affiliated Hospital of YangzhouUniversity, Yangzhou 225001, Jiangsu Province, China;2.Department of Ophthalmology, Shanghai Ninth People＇s Hospital,Shanghai Jiao Tong University School of Medicine, Shanghai200011, Chin)
出处
《国际眼科杂志》
CAS
北大核心
2018年第10期1929-1933,共5页
International Eye Science
关键词
小睑裂综合征
Y-V成形术
Ammon外眦成形术
额肌瓣悬吊术
满意度
blepharophimosis - ptosis - epicanthusinversus syndrome
Y- V plasty
Ammon canthoplasty
frontal muscle flap suspension surgery
degreeof satisfaction
