联合筋膜鞘悬吊术治疗中重度上睑下垂的临床效果观察

Clinical effects of conjoint fascial sheath in treatment of moderate and severe ptosis

目的:观察联合筋膜鞘悬吊术(CFS)治疗中重度上睑下垂的临床效果。方法:回顾性分析2017年5月—2018年4月治疗的中重度上睑下垂98例患者的临床资料,依据手术方法不同分为两组,对照组48例(56眼)接受额肌瓣悬吊术(FMS)治疗,观察组50例(59眼)接受CFS治疗。观察两组矫正效果、并发症及手术前后眼表变化情况。结果:观察组矫正率(98.31%)高于对照组(85.71%),差异有统计学意义(P<0.05);观察组并发症(8.47%)发生率低于对照组(25.00%),差异有统计学意义(P<0.05);手术前后两组泪膜破裂时间(BUT)、泪液分泌试验(SIt)水平对比,差异无统计学意义(P>0.05)。结论:CFS用于中重度上睑下垂治疗有助于提升矫正率,且术后并发症较少,对眼表无较大影响。

Objective:To observe the clinical effects of conjoint fascial sheath(CFS)in treatment of moderate and severe ptosis.Methods:The clinical data of 98 patients with moderate and severe ptosis treated in the hospital from May 2017 to April 2018 were retrospectively analyzed.All selected cases were divided into two groups according to the surgical methods.The clinical data of 48 cases(56 eyes)with frontalis muscle suspension(FMS)were taken as control group,and the clinical data of 50 cases(59 eyes)with CFS were taken as observation group.The correction effect,complications,ocular surface changes before and after surgery in the two groups were observed.Results:The correction rate of observation group(98.31%)was higher than that of control group(85.71%)(P<0.05);The incidence of complications in observation group(8.47%)was lower than that in control group(25.00%)(P<0.05);There was no statistical difference in the tear film break-up time(BUT)and Schirmer I test(SIt)between the two groups before and after surgery(P>0.05).Conclusion:CFS in treatment of moderate and severe ptosis can increase the correction rate and have less postoperative complications,which has no great effect on ocular surface.