摘要
目的对提上睑肌缩短术与额肌瓣悬吊术治疗重度上睑下垂的临床治疗效果进行比较。方法随机分组,对照组患者行提上睑肌缩短术治疗,观察组患者行额肌瓣悬吊术治疗。结果观察组术后1m BUT(15.43±1.54)s,与对照组同时期BUT指标对比差异显著(P<0.05)。两组术前、术后7d各项指标,以及术后1m的SIt与FL指标对比,差异无统计学意义(P>0.05)。观察组患者临床治疗显效率为68%、有效率为28%、无效率为4%、总有效率为96%,与对照组差异显著(P<0.05)。观察组角膜炎、眼睑外翻、睑球粘连发生率分别4%、0以及0,与对照组差异显著(P<0.05)。结论提上睑肌缩短术与额肌瓣悬吊术相比,治疗效果更加显著,在行外科手术治疗后,患者上睑下垂情况得到有效缓解,且安全性与可靠性强,临床可予以推广。
Objective To compare the clinical effect of levator palpebral muscle shortening and frontal muscle flap suspension in the treatment of severe blepharoptosis.Methods The patients in the control group were treated with levator palpebral muscle shortening and the patients in the observation group were treated with frontal muscle flap suspension.Results There was significant difference between the observation group m BUT(15.43±1)m BUT(15.43±1.54)s,and the control group(P<0.05).There was no significant difference between the two groups d preoperative and postoperative 7 indexes,and the SIt and FL indexes of 1 m after operation(P>0.05).The effective rate of clinical treatment in observation group was 68%Effective rate was 28%,invalid rate was 4%,total effective rate was 96%,the difference was significant(P<0.05).At the same time,the incidence of keratitis,ectropion and blepharoid adhesion in the observation group was 4%,0 and 0,respectively,which was significantly different from that in the control group(P<0.05).Conclusion Compared with frontal flap suspension,levator palpebral muscle shortening is more effective.After surgical treatment,the patient's ptosis is effectively alleviated,and the safety and reliability are strong,so it can be popularized clinically.
作者
程金辉
陈晓欢
凌丽媛
CHEN Jin-hui;CHEN Xiao-huan;LING Li-yuan(Fuzhou Eye Hospital,Fujian Province,350007,China)
出处
《中国医疗美容》
2020年第10期25-28,共4页
China Medical Cosmetology
关键词
提上睑肌缩短术
额肌瓣悬吊术
重度上睑下垂
levator palpebral muscle shortening
frontal muscle flap suspension
severe ptosis
