[1]王欢燕,朱惠敏,吕 碧. 两种术式治疗先天性中重度上睑下垂效果比较[J].中国美容医学,2019,(06):30-32.
 WANG Huan-yan,ZHU Hui-min,LV Bi. Comparison of Surgical Results of Two Surgical Methods in the Treatment ofModerate-to-severe Congenital Ptosis[J].Medical Aesthetics and Beauty,2019,(06):30-32.
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 两种术式治疗先天性中重度上睑下垂效果比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年06期
页码:
30-32
栏目:
出版日期:
2019-06-05

文章信息/Info

Title:
 Comparison of Surgical Results of Two Surgical Methods in the Treatment of
Moderate-to-severe Congenital Ptosis
文章编号:
1008-6455(2019)06-0030-04
作者:
王欢燕1朱惠敏2吕 碧1
Author(s):
WANG Huan-yan1ZHU Hui-min2LV Bi1
关键词:
 [关键词]联合筋膜鞘悬吊术上睑提肌缩短术先天性上睑下垂并发症
Keywords:
Key words: conjoint fascial sheath suspension levator muscle resection congenital ptosis complications
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的:探讨联合筋膜鞘悬吊术(conjoint fascial sheath suspension,CFSS)和上睑提肌缩短术(levator muscle
resection,LMR)治疗先天性中重度上睑下垂的手术效果。方法:选取2016年1月-2018年8月笔者医院收治的先天性中重度
上睑下垂患者62例94眼为研究对象。根据手术方式不同将患者分为行CFSS术的观察组(32例48眼)和行LMR术的对照组(30
例46眼)。比较两组患者手术矫正效果、术后上睑回退情况、主观满意度、并发症发生率等指标。结果:观察组手术总有效
率(93.75%)明显高于对照组(78.26%),差异有统计学意义(P <0.05)。观察组患者术后1周、3个月、6个月上睑回退量
均低于对照组,差异均有统计学意义(P <0.05)。观察组患者满意度高于对照组,差异有统计学意义(P <0.05)。观察组
并发症发生率(16.67%)明显低于对照组(41.30%),差异有统计学意义(P <0.05)。结论:与传统LMR术治疗先天性中重
度上睑下垂比较,CFSS术矫正效果更佳,且具有并发症少、可重复性强、患者满意度高等优势。

Abstract:
Abstract: Objective To explore the surgical results of conjoint fascial sheath suspension (CFSS) and levator muscle resection
(LMR) in the treatment of moderate-to-severe congenital ptosis. Methods A total of 62 patients with moderate-to-severe
congenital ptosis (94 eyes) who were admitted to our hospital from January 2016 to August 2018 were selected for the study
and were divided into observation group (given CFSS, 32 cases, 48 eyes) and control group (given LMR, 30 cases, 46 eyes)
according to different surgical methods. The differences in surgical correction effects, postoperative upper eyelid retreat,
subjective satisfaction and incidence rate of complications were compared between the two groups. Results The total effective
rate of the observation group (93.75%) was significantly higher than that of the control group (78.26%), the difference was
statistically significant(P <0.05). The amount of upper eyelid regression in the observation group was lower than those in the
control group one week, three months and six months after operation(P <0.05). The satisfaction of patients in the observation
group was higher than that in the control group(P <0.05). The incidence of complications in the observation group (16.67%)
was significantly lower than that in the control group (41.30%, P <0.05). Conclusion Compared with traditional LMR in
the treatment of moderate-to-severe congenital ptosis, CFSS has better correction effects, and has the advantages of fewer
complications, stronger repeatability and higher patients’ satisfaction.

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更新日期/Last Update: 2019-07-03