上睑下垂手术治疗方法回顾性研究

The review of surgical procedures to correct blepharoptosis

目的:回顾近年来上睑下垂的手术治疗方法,以期对临床正确选择对此类疾病的矫治方法有所指导。方法:本文检索(来源于CNKI和MEDLINE)国内外近26年有关上睑下垂手术方法的论文,按照手术原理进行分类,统计各类手术方法的论文数量,并对合格的论文设立筛选标准:具有长期随访时间和相应的长期随访照片。结果:经检索后共获得论文425篇,国内88.9%,国外11.1%。按照设立的筛选标准筛选后为38篇(8.7%),国内4.2%,国外4.5%。根据手术原理,将上睑下垂的方法分为6大类,形成表格和图例的方式进行比较。结论:利用提上睑肌的术式是矫正轻、中度上睑下垂的首选方法,利用额肌力量的术式适用于中重度上睑下垂。

Objective To review and summarize the surgical techniques of blepharoptosis. Methods The literatures （from CNKI and MEDLINE） about the procedures to correct blepharoptosis in recent 26 years were retrieved and were classified upon surgical principles. In order to exclude the low-quality articles, it was considered that the qualified articles match following condition： long-term follow-up time was above 6 months with corresponding long-term follow-up photographs. Results After retrieving, 425 literatures （domestic 88.9% and abroad 11.1%） were got, in which, 38 literatures （domestic 4.2%, abroad 4.5%） were qualified. All the procedures described in the literatures were divided into six categories and compared in the form of chart and table. Conclusion The procedures using levator muscle were for the mild or moderate blepharoptosis and the procedures using frontalis muscle were for the moderate or severe blepharoptosis.