摘要
目的探讨应用联合筋膜鞘悬吊术矫正先天性重度上睑下垂的临床效果。方法2018年4月至2019年10月,应用联合筋膜鞘悬吊术矫正先天性重度上睑下垂58例,观察术后疗效及并发症发生情况。结果术后随访6~12个月,51例患者重睑形成良好,上睑缘高度在角膜上缘下1~2 mm处,弧度良好,无明显睑裂闭合不全;5例矫正不足;2例矫正过度。6例术后发生结膜脱垂,1例术后出现暴露性角膜炎,5例术前Bell现象阳性患者,术后出现Bell现象可疑阳性。无睑外翻、倒睫、感染等并发症发生。结论联合筋膜鞘(Conjoiot fascial shoash,CFS)悬吊矫正重度上睑下垂效果优良,但仍需进一步研究以减少术后并发症的发生。
Objective To investigate the clinical effect of conjoint fascial sheath(CFS)suspension in the correction of severe blepharoptosis.Methods From April 2018 to October 2019,58 patients with severe blepharoptosis were treated with CFS suspension,the surgical effects and complications were observed.Results Postoperative follow-up lasted for 6-12 months.The double eyelid of 51 patients was well formed.The height of upper eyelid margin was 1-2 mm below the upper corneal margin,and the radian was good.Five cases had insufficient correction.Two cases were overcorrected.Six patients developed conjunctival prolapse,one patient developed postoperative exposure keratitis,and five patients who were positive for Bell phenomenon before surgery presented suspicious positive for Bell phenomenon after surgery.No eyelid ectropion,trichiasis,infection and other complications occurred.Conclusion CFS suspension is effective in the treatment of severe blepharoptosis.However,further study is needed in order to reduce the postoperative complications.
作者
刘超华
崔江波
彭湃
LIU Chaohua;CUI Jiangbo;PENG Pai(Department of Plastic Surgery,The First Affiliated Hospital of Air Force Military Medical University,Xi'an 710032,China)
出处
《组织工程与重建外科杂志》
2020年第4期307-310,共4页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
联合筋膜鞘
重度上睑下垂
并发症
Conjoint fascial sheath
Severe blepharoptosis
Complication
作者简介
通信作者:彭湃,E-mail:Pengpai@fmmu.edu.cn。
