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儿童重度先天性上睑下垂两种术式探讨


□ 黄小荣

摘 要:

目的:研究儿童先天性重度上睑下垂的有效手术治疗方法。方法:采用改良提上睑肌缩短术及改良额肌瓣悬吊术治疗治疗儿童先天性重度上睑下垂46例61眼,并对术后效果进行总结分析。结果:治愈50眼。其中改良额肌瓣悬吊术29眼、改良提上睑肌缩短术21眼。有效10眼,其中改良额肌悬吊术3眼、改良提上睑肌缩短术7眼。无效为改良提上睑肌缩短术1眼。结论:改良提上睑肌缩短术及改良额肌瓣悬吊术是治疗儿童先天性重度上睑下垂首选的方法。

分类号:

  • [R72]
  • > 医药、卫生
  • > 儿科学

  •   【摘要】目的:研究儿童先天性重度上睑下垂的有效手术治疗方法。方法:采用改良提上睑肌缩短术及改良额肌瓣悬吊术治疗治疗儿童先天性重度上睑下垂46例61眼,并对术后效果进行总结分析。结果:治愈50眼,其中改良额肌瓣悬吊术29眼、改良提上睑肌缩短术21眼。有效10眼,其中改良额肌悬吊术3眼、改良提上睑肌缩短术7眼。无效为改良提上睑肌缩短术1眼。结论:改良提上睑肌缩短术及改良额肌瓣悬吊术是治疗儿童先天性重度上睑下垂首选的方法。

      【关键词】改良提上睑肌缩短术;改良额肌瓣悬吊术;先天性上睑下垂;儿童

      文章编号:1009-5519(2008)03-0334-03 中图分类号:R72 文献标识码:A

      Study on the two operative methods in treating severe congenital ptosis in children

      HUANG Xiao-rong

      (Department of Ophthalmology,Traditonal Chinese Medical Hospital of Danyang,Jiangsu 212300,China)

      【Abstract】Objective:To investigate the operative methods for severe congenital ptosis in chidren.Methods:Maximun shortening of upper eyelid levator muscle and modified frontal muscle flap suspension were performed in 61 eyes of 46 patients with severe congenital ptosis (0~3 mm).The clinical data were recorded and analyzed,and the effect was evaluated.Results:50 eyes were cured,in which 29 eyes were adopted with the modified frontal muscle flap suspension,21 eyes with the maximum shortening of upper eyelid levator muscle.10 eyes were effective,in which 3 eyes were adopted iwht the modified frontal muscle flap suspension,7 eyes with the maximum shovtening of upper eyelid levator muscle.Only one adopted with maximum shortening of upper eyelid levator muscle was ineffective.Conclusion:Severe congenital ptosis can be effectively treated by maximun shortening of upper eyelid levator muscle and modified frontal muscle flap suspension.

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