先天性上睑下垂矫正术后失败病例分析

Analysis of failed postoperative cases in congenital blepharoptosis

目的:探讨先天性上睑下垂矫正术后失败原因。方法:对137例(152眼)行先天性上睑下垂矫正术病人,术后随访6个月～1年。结果:先天性上睑下垂矫正术后失败病例共41例(47眼),发生率29.93%(30.92%),提上睑肌缩短术25例(27眼),发生率26.60%(23.48%),额肌悬吊术16例(20眼),发生率37.2%(42.55%)。结论:术前详细的检查,制定合理的手术方式,术中避免多余操作及不必要的损伤,术后及时处理并发症是预防术后矫正不足、过度矫正的关键。

Objective：To investigate the masons of failed postoperative cases in congenital blepharoptosis.Methods：The correction of blepharoptosis was performed in 132 eyes of 137 patients with congenital blepharoptosis,all cases were followed up for 6 months to 1 year.Results：The failed postoperative cases in this group amounted to 47 eyes of 41 cases,the incidence was 30.92%（29.93%）.Among them,the shortening of levator palpebrae superioris was 27 eyes of 25 cases,its incidence was 23.48%（26.60%）;the frontalis suspension was 20 eyes of 16 cases,its incidence was 42.55%（37.2%）.Conclusion：Detailed preoperative examination,instituting rational operative way,avioding superfluous operation and otiose injury during the operation and managing the complication promptly after operation are the keys to prevent the postoperative excessive correction and less correction.