四种上睑下垂术式临床效果分析

Analysis of clinical results of four kinds of ptosis surgery

目的:观察4种上睑下垂术式的临床效果。方法:为探讨上睑下垂术的有效治疗方法,不断改进手术方式。结果:每种手术均有其优点及并发症,提上睑肌折叠术为目前较为理想的手术方法。结论:临床实践提上睑肌折叠术与以往专家理论:提上睑肌节制韧带上每缩短3～5mm肌肤,可矫正下垂量1mm不同:在节制韧带上缘折叠提上睑肌腱膜即可提起上睑,且上睑缘正好在角膜缘上2mm,术后恢复在角膜缘处。

AIM： To observe the clinical effects of four kinds of ptosis surgery. ~ METHODS： The operative procedure was improved continuously to explore the effective treatment of ptosis surgery. RESULTS： The result of each operation had its advantages and complications. Levator plication was an ideal surgical method for the current.CONCLUSION： Clinical practice of levator plication differs with previous theory＇ which considered that with each 3- 5mm skin shortening by moderate ligament of levator, drooping amount of l mm was corrected. Upper eyelid can be lifted by collapsing levator tendon membrane on the superior margin of moderate ligament and the upper palpebral margin located 2ram above corneal limbus and recovered to the corneal limbus after surgery.