甲状腺相关性眼病上睑退缩的手术治疗

The surgical therapy of upper lid retraction with thyroid-associated ophthalmopathy(TAO).

目的探讨甲状腺相关性眼病（TAO）静止期上睑退缩的手术治疗方法。方法对30例（48眼）TAO静止期上睑退缩采用患眼Muller肌切除联合部分上睑提肌腱膜切断手术治疗。结果手术治疗后5天与6—9月显效率分别为85．42％和72．92％，疗效无显著差异（x^2=1．07，P〉0．25）。结论TAO静止期上睑退缩采用手术治疗效果显著而稳定，并发症少，是治疗静止期TAO上睑退缩的有效方法。

Objective To study the surgical therapy of upper lid retraction with thyroid-associated ophthalmopathy （TAO） in stable stage. Methods In 30 stable patients （48 eyes）, dissecting MOiler＇ s muscle with part of levetor apeneurosis was performed. Results The ratios of success of operation after 5 days and 6 - 9 months were 85.42% and 72.92% .There was no significant difference between the effects after 5 days and those after 6 - 9 months（x^2 = 1.07, P 〉 0.25）. Conclusion The effects of surgical therapy for patients of TAO in stable stage are satisfying and stable, Surgery is an effective treatement of upper lid retraction in stable TAO patiens.