摘要
目的 探讨额肌瓣悬吊术矫治重度上睑下垂的临床效果.方法 局麻后于上睑重睑皱褶处切开皮肤,剪除切口下唇的一条眼轮匝肌以暴露睑板.然后于眶上缘眉弓处作一长约15～20 mm的辅助切口,于两切口之间的眼轮匝肌下作隧道.在辅助切口处直视下夹持额肌,沿额肌止端横形剪断宽约15mm,分别在皮下与额肌间及骨膜与额肌间钝性分离以游离额肌,于其两侧向上作扇形剪开制成额肌瓣,向下牵引此瓣缝合于睑板上1/3处.间断缝合重睑切口及辅助切口.术后观察5月～6年.结果 76例（92眼）全部矫正满意,外观良好,未见复发病例.结论 额肌瓣悬币术矫治重度上睑下垂方法简单,符合生理功能,手术成功率高,效果良好.
Objective To evaluate the clinical effect of frontalis musculus flap suspension for severe ptosis. Methods 76 cases （92 eyes） of severe congenital ptosis received surgery, and were followed up for five months to six years after operation. Results The total 76 cases succeed with outward appearance and no recurrence. Conclusions Frontalis musculus flap suspension is easy to operate, suitable to physiological function, and high rate success and good effect.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第5期366-368,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
上睑下垂
重度
额肌瓣
手术
ptosis
severe frontalis musculus flap
operation
