重度上睑下垂的治疗

The treatment of severe ptosis

重度上睑下垂的视功能障碍程度高于轻中度者,患者一经确诊,需尽早行手术矫正。目前,重度上睑下垂的矫正术式可归纳为上睑提肌缩短术、额肌悬吊术、联合筋膜鞘悬吊术、联合术式。然而由于术式繁多,目前对各术式的选择尚无统一的标准。该文介绍了上睑下垂分类及严重程度的评估方法,并针对重度上睑下垂的矫正方法及适应证、优缺点等进行总结比较,以期为重度上睑下垂患者提供最佳的治疗策略。

Patients with severe ptosis have a higher degree of visual dysfunction than those with mild to moderate ptosis and require surgery as soon as possible once diagnosed.Currently,the corrective procedures for severe ptosis can be categorized as levator palpebrae shortening,frontalis suspension,conjoint fascial sheath suspension,and combined procedures.However,due to the variety of procedures,there is no uniform standard for the selection of each procedure.This article describes the classification and severity evaluation method of ptosis.The correction method of severe ptosis,their indications as well as the pros and cons of each method were comprehensively summarized and compared,trying to provide the best treatment strategy for patients with severe ptosis.