[1]梁晓磊,刘亚丹,吴 倩,等. 额肌瓣悬吊术与提上睑肌缩短术治疗重度上睑下垂患儿的疗效对比研究[J].中国美容医学,2019,(07):1-4.
　LIANG Xiao-lei,LIU Ya-dan,WU Qian,et al. A Comparative Study of Frontalis Muscle Flap Suspension and Levator PalpebraeShortening in the Treatment of Severe Blepharoptosis in Children[J].Medical Aesthetics and Beauty,2019,(07):1-4.
点击复制

 额肌瓣悬吊术与提上睑肌缩短术治疗重度上睑下垂患儿的疗效对比研究
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年07期
页码:
1-4
栏目:
出版日期:
2019-07-05

文章信息/Info

Title:
 A Comparative Study of Frontalis Muscle Flap Suspension and Levator Palpebrae
Shortening in the Treatment of Severe Blepharoptosis in Children
文章编号:
1008-6455（2019）07-0001-04
作者:
梁晓磊1; 刘亚丹1; 吴 倩2; 于 刚2
Author(s):
LIANG Xiao-lei1; LIU Ya-dan1; WU Qian2; YU Gang2
关键词:
 ; [关键词]额肌瓣悬吊术; 提上睑肌缩短术; 重度上睑下垂; 患儿; 疗效; 并发症
Keywords:
 ; Key words: frontalis muscle flap suspension;  levator palpebrae muscle shortening;  severe blepharoptosis;  children;  curativeeffect;  complications
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：比较额肌瓣悬吊术与提上睑肌缩短术治疗重度上睑下垂患儿的临床疗效。方法：选取2015年5月-2018年5
月笔者医院收治的重度上睑下垂患儿104例（157眼），根据手术方式的不同将所有患儿分为额肌瓣悬吊组（n =52例，73
眼，采用额肌瓣悬吊术）和提上睑肌缩短组（n =52例，84眼，采用提上睑肌缩短术），比较两组患者临床疗效，泪膜破
裂时间（Breakup time of tear film，BUT）、泪液分泌试验（Schirmer test，SIt）、角膜荧光染色（Fluorescent
staining，FL）检查结果，观察两组患者术后并发症发生情况。结果：提上睑肌缩短组患者术后临床总有效率为92.86%
（78/84）显著高于额肌瓣悬吊组的82.19%（60/73），差异有统计学意义（P ＜0.05）。两组患者术后7d、术后1个月FL高
于术前（P ＜0.05），两组患者术后3个月FL与术前比较差异无统计学意义（P ＞0.05）；提上睑肌缩短组术后7d、术后1个
月、术后3个月SIt、FL与额肌瓣悬吊组比较差异无统计学意义（P ＞0.05）；提上睑肌缩短组术后7d BUT低于额肌瓣悬吊组
（P ＜0.05），而提上睑肌缩短组术后1个月、术后3个月BUT与额肌瓣悬吊组比较差异无统计学意义（P ＞0.05）。额肌瓣悬
吊组并发症发生率为8.22%（6/73），提上睑肌缩短组为3.57%（3/84），差异无统计学意义（P＞0.05）。结论：与额肌瓣
悬吊术相比，提上睑肌缩短术治疗重度上睑下垂患儿的疗效更为确切，且安全性与其相当，临床可考虑将提上睑肌缩短术作
为治疗重度上睑下垂患儿的首选术式。
Abstract:
Abstract: Objective To compare the clinical effects of frontalis muscle flap suspension and levator palpebrae shortening in
the treatment of severe blepharoptosis. Methods 104 children (157 eyes) with severe blepharoptosis who were admitted to
our hospital from May 2015 to May 2018 were selected,they were divided into frontal muscle flap suspension group (n =52,
73 eyes, frontal muscle flap suspension) and upper eyelid muscle shortening group (n =52, 84 eyes, levator muscle shortening).
The clinical efficacy,tear film rupture time (BUT),tear secretion test (SIt) and corneal fluorescence staining (FL) were compared
between the two groups.The incidence of postoperative complications in two groups were observed. Results The total effective
rate of levator palpebrae shortening group[92.86%(78/84)] was significantly higher than that of frontal muscle flap suspension
group[82.19%(60/73)], the difference was statistically significant(P ＜0.05). FL was higher in the two groups at 7d and 1 month
after operation than that before operation (P ＜0.05). There was no significant difference in FL between the two groups at 3
months after operation (P ＞0.05). SIt,FL in frontal muscle flap suspension group at 7d,1 month,3 months after operation had no
significant difference with upper eyelid muscle shortening group(P ＞0.05). BUT in levator palpebrae shortening group was
lower than that of frontal muscle flap suspension group at 7d after operation, but there was no significant difference in BUT
between levator palpebrae shortening group and frontal muscle flap suspension group 1 month and 3 months after operation
(P ＞0.05). There was no significant difference in the incidence of complications between the two groups during the follow-up
period(P ＞0.05). Conclusion Compared with frontalis muscle flap suspension, levator palpebrae shortening is more effective
and safe in the treatment of severe blepharoptosis.The shortening of the upper eyelid muscle may be considered as the first
choice for the treatment of severe blepharoptosis.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(07):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(07):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(07):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(07):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(07):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(07):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(07):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(07):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(07):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(07):27.
[11]王新玲,王建宏. 额肌瓣悬吊术与上睑提肌缩短术矫治上睑下垂疗效比较[J].中国美容医学,2019,(11):36.
　WANG Xin-ling,WANG Jian-hong. Comparison of the Effect of Frontalis Muscle Flap Suspension and Levator PalpebraeSuperioris Muscle Shortening in the Treatment of Blepharoptosis[J].Medical Aesthetics and Beauty,2019,(07):36.

更新日期/Last Update: 2019-07-22