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-  2016 

弧形额肌筋膜瓣治疗中重度先天性上睑下垂疗效观察

DOI: doi:10.7507/1002-1892.20160092

Keywords: 上睑下垂, 弧形额肌筋膜瓣, 悬吊术

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Abstract:

目的探讨采用弧形额肌筋膜瓣治疗中、重度先天性上睑下垂的疗效。 方法2011年1月-2014年12月,收治80例(140侧)中、重度先天性上睑下垂患者。男31例,女49例;年龄6~45岁,中位年龄16岁。单侧20例,双侧60例。患者平视前方时,上睑下垂3~6 mm,平均5 mm。51例曾接受矫形术,其余患者均为初次手术。术中通过眉部中份切口制备额肌筋膜瓣,沿眼轮匝肌下隧道将其下降至睑板上缘缝合固定悬吊上睑至过矫位。 结果患者手术均顺利完成。术中出血量为5~10 mL,平均7 mL。术后切口轻度肿胀,3~5 d后消肿;切口均Ⅰ期愈合,无感染、皮瓣坏死等并发症发生。患者均获随访,随访时间1~3年,平均1.5年。79例患者于术后3个月内能完全闭合上睑,上睑功能均重建良好;1例单侧患者术后6个月尚不能完全闭合上睑,伴发轻度角膜炎,经睑缘粘连术治疗后完全闭合。 结论采用弧形额肌筋膜瓣治疗中、重度先天性上睑下垂可获较好疗效,具有创伤小、安全可靠、手术操作简便等优点

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