摘要
目的 明确睑成形术后继发上睑下垂的病因 ,正确选择修复方法。方法 根据术前、术中上睑提肌的功能状况以及术中所见上睑的解剖关系确定修复方案 ,修复的关键是眶隔整形和重建上睑提肌的生理解剖结构。结果 临床治疗 18例 ,2 0只眼。随访时间为 1周～ 4年。 16只效果良好 ,3只效果较满意 ,1只效果欠佳。结论 术前、术中上睑提肌肌力测定对评判导致上睑下垂综合因素的作用具有定量诊断意义。以此为依据制定的修复方案经临床实践证明比较合理 。
Objective\ To analyze the reasons of the blepharoptosis caused after blepharoplasty in order to search the proper method to correct the problem. Methods\ Eighteen patients of the blepharoptosis with 20 eyes were undergoing for this study.The ptosis was determined with the measurement of the function of the levator muscle.The proper surgical technique selected was performed mainly to focus on the repair of the orbital septum and the levator muscle.All of the patients were followed up from 1 week to 4 years after the operation. Results\ Eighteen acquired blepharoptosis patients with 20 eyes were repaired after the analyzing the reasons.The results were satisfactory in 16 eyes,improved in 3 eyes and recurrent in 1 eye.Conclusions\ It is necessary to evaluate the function of the injured levator muscle and analyze the surgical induced reasons of the ptosis eye before to repair the acquired ptosis.It is also reminded of the surgeons to pay more attention in order to prevent the occurrence of the problem when they do the blepharoplasty.\;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2001年第2期105-108,共4页
Chinese Journal of Plastic Surgery
关键词
上睑下垂
肌力测定
手术方法
上睑成形术
诊断
治疗
预防
Operative complication
\ Belpharoptosis
\ Levator force measurement
\ Surgical techniques
