[1]陈贵宗,田跃平,罗延平,等. 上睑联合筋膜鞘（CFS）治疗复发性中重度上睑下垂[J].中国美容医学,2019,(01):6-8.
　CHEN Gui-zong,TIAN Yue-ping,LUO Yan-ping,et al. Clinical Report of Conjoint Fascial Sheath(CFS) Suspension on the Treatment of Recurrent Blepharoptosis[J].Medical Aesthetics and Beauty,2019,(01):6-8.
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 上睑联合筋膜鞘（CFS）治疗复发性中重度上睑下垂
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年01期
页码:
6-8
栏目:
出版日期:
2019-01-15

文章信息/Info

Title:
 Clinical Report of Conjoint Fascial Sheath(CFS) Suspension on the Treatment of Recurrent Blepharoptosis
文章编号:
1008-6455（2019）01-0006-03
作者:
 陈贵宗1; 田跃平1; 罗延平1 ; 刘 涛1; 李 勤2
Author(s):
CHEN Gui-zong1; TIAN Yue-ping1; LUO Yan-ping1; LIU Tao1; LI Qin2
关键词:
[关键词]上睑下垂; 复发性; 中重度; 上睑联合腱膜鞘（CFS）
Keywords:
Key words: ptosis;  recurrent;  moderate or severe;  conjoint fascial sheath
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨一种矫正中重度上睑下垂术后复发的稳定可靠的手术方法。方法：2016年1月-2017年12月，共治疗复发性
重度上睑下垂16例，其中双眼10例，单眼6例，共26只眼，局麻下首先剥离出睑板组织，仔细分离前次手术瘢痕粘连组织，
解剖出变性额肌组织或提上睑肌，于结膜与上睑提肌腱膜下向后上分离至上睑结膜穹窿处，见白色增厚联合腱膜鞘，6-0尼
龙线将睑板悬挂缝合于联合腱膜上，再将提肌腱膜向前下方牵拉缝合于睑板上。术中调整缝挂联合腱膜及上睑提肌的位置，
将上睑缘调整至合适的高度及睑缘曲率流畅。结果：随访6个月～1年，满意25只眼，1只欠满意，无明显严重并发症，轻度
闭合不全在3个月内基本恢复，无角膜暴露。结论：上睑联合腱膜鞘（CFS）及上睑提肌腱膜前徒手术可以稳定有效矫正复发
性中重度上睑下垂，术后闭合不全发生率低，美容效果好，复发率低。

Abstract:
Abstract: Objective To discuss a better way for the treatment of moderate or severe recurrent blepharoptosis. Methods From
January 2016 to December 2017, conjoint fascia sheath suspension was performed in 16 patients(26 eyes, one side was 6
and two side was 10) with recurrent blepharoptosis. The double eyelid line was redesigned, the scar tissue at each layer was
released and dissociated, the connection of frontal muscle flap to tarsal plate was amputeted and anatomical reduction was
performed. The eyelid board edge was exposed and the lower layer of the levator palpebrae superoris muscle was penetrated
at the lateral position.With separation toward the fornix along the conjunctiva, the CFS was located between the former of the
musical rectus superior and the elevator palpebrae superiors muscle. Ptosis was corrected by sutruing the superior alar ligament
and corresponding elevator palpebral superioris aponeurosis to the upper margin of the tarsal plate with 6-0 nylon thread.
Conventional suture was performed to shape the double eyelid. Success was assumed when the height of palpebral fissure
measured significantly higher than before. Results All 16 cases were followed up from 6 to 24 months. Good correction was
achieved in 25 eyes. In one case, satisfactory result was achieved after reoperation because of the large difference between
bilateral eye. All patients were able to completely close their eyes in 3 months. Conclusion The application of conjoint fascia
sheath suspension in the repair of recurrence after severe or moderate conjointal ptosis can achieve satisfactory clinical results.

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[4]刘竟慧,张 蕾. 联合筋膜鞘悬吊术治疗中重度上睑下垂[J].中国美容医学,2019,(10):44.
　LIU Jing-hui,ZHANG Lei. Clinical Analysis of the Effect of Conjoint Fascial Sheath Suspension in the Treatmentof Moderate and Severe Blepharoptosis[J].Medical Aesthetics and Beauty,2019,(01):44.
[5]杨文华,杨娇娇,王雪梅. 上睑联合筋膜鞘悬吊结合提上睑肌缩短术矫治中重度上睑下垂[J].中国美容医学,2019,(12):37.
　YANG Wen-hua,YANG Jiao-jiao,WANG Xue-mei. Correction of Moderate and Severe Blepharoptosis by Conjoint Fascial SheathCombined with Levator Palpebrae Muscle Shortening[J].Medical Aesthetics and Beauty,2019,(01):37.

更新日期/Last Update: 2019-01-30