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提上睑肌缩短术和额肌瓣悬吊术矫治先天性轻度上睑下垂对患儿角膜屈光力和散光情况的影响 被引量:7

Effects of Levator Palpebral Muscle Shortening and Frontal Muscle Flap Suspension on Corneal Refractive Power and Astigmatism in Children with Mild Congenital Blepharoptosis
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摘要 目的:探究提上睑肌缩短术与额肌瓣悬吊术治疗先天性轻度上睑下垂的效果及对患儿角膜屈光力及散光情况的影响。方法:选取2018年1月-2019年1月笔者所在医院收治的120例先天性轻度上睑下垂患儿为试验对象,随机分成观察组及对照组,各60例。对照组行额肌瓣悬吊术治疗,观察组行提上睑肌缩短术治疗,观察两组疗效、治疗前后角膜屈光力及散光情况。结果:观察组总有效率显著高于对照组,并发症发生率显著低于对照组,差异均有统计学意义(P<0.05)。两组治疗前后角膜屈光力及角膜散光度比较,差异无统计学意义(P>0.05)。结论:提上睑肌缩短术治疗先天性轻度上睑下垂具有确切效果,可显著减少并发症。 Objective:To explore the effects of levator palpebral muscle shortening and frontal muscle flap suspension in the treatment of the mild congenital blepharoptosis and its effect on the corneal refractive power and astigmatism of the children.Method:From January 2018 to January 2019,120 cases of mild congenital blepharoptosis admitted to our hospital were selected as test subjects and randomly divided into the observation group and the control group,60 cases in each group.The control group was treated with frontal muscle flap suspension and the observation group was treated with levator palpebral muscle shortening.The curative effect,corneal refractive power and astigmatism before and after treatment were observed between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the incidence of complications was significantly lower than that of the control group,and the differences were statistically significant (P<0.05).The corneal refractive power and astigmatism before and after treatment were compared between the two groups,and the differences were not statistically significant (P>0.05).Conclusion:Levator palpebral muscle shortening is effective in the treatment of mild congenital blepharoptosis and can significantly reduce the complications.
作者 赵文燕 ZHAO Wenyan(Huangshi Maternal and Child Health Hospital,Huangshi 438000,China)
出处 《中外医学研究》 2020年第14期104-105,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 提上睑肌缩短术 额肌瓣悬吊术 先天性轻度上睑下垂 角膜屈光力 角膜散光 Levator palpebral muscle shortening Frontal muscle flap suspension Mild congenital blepharoptosis Corneal refractive power Corneal astigmatism
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