[1]谢燕燕,王晓川,张基勋,等.改良提上睑肌-眼轮匝肌固定法睑成形术矫正轻度上睑下垂的临床研究[J].中国美容医学,2021,(12):33-37.
　XIE Yan-yan,WANG Xiao-chuan,ZHANG Ji-xun,et al.Clinical Study on Modified Levator Palpebrae Superioris Orbicularis Oculi Fixation Blepharoplasty for the Correction of Mild Blepharoptosis[J].Medical Aesthetics and Beauty,2021,(12):33-37.
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改良提上睑肌-眼轮匝肌固定法睑成形术矫正轻度上睑下垂的临床研究()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年12期
页码:
33-37
栏目:
出版日期:
2021-12-10

文章信息/Info

Title:
Clinical Study on Modified Levator Palpebrae Superioris Orbicularis Oculi Fixation Blepharoplasty for the Correction of Mild Blepharoptosis
文章编号:
1008-6455（2021）12-0033-04
作者:
谢燕燕1; 2; 王晓川2; 3; 张基勋2; 3; 姜笃银2; 3; 4
(1.济南海峡美容整形医院整形外科 山东 济南 250100 ;2.山东大学齐鲁医学院 山东 济南 250012 ;3.山东大学第二医院整形烧伤科 山东 济南 250000 ;4.急诊医学中心 山东 济南 250033 )
Author(s):
XIE Yan-yan1; 2; WANG Xiao-chuan2; 3; ZHANG Ji-xun2; 3; JIANG Du-yin2; 3; 4
(1.Department of Plastic Surgery,Jinan Hays Cosmetic Plastic Surgery Hospital,Jinan 250100,Shandong,China;2.Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China;3.Department of Plastic and Burns Surgery,the Second Hospital of Shandong University,Jinan 250000,Shandong,China; 4.Department of Emergency,the Second Hospital of Shandong University,Jinan 250033,Shandong,China)
关键词:
改良提上睑肌-眼轮匝肌固定法; 上睑下垂; 轻度; 提上睑肌肌力; 提上睑肌缩短; 并发症
Keywords:
modified levator palpebrae superioris orbicularis oculi fixation blepharoplasty;  blepharoptosis;  mild;  levator palpebrae muscle strength;  levator palpebrae muscle shortening;  complication
分类号:
R622
文献标志码:
A
摘要:
目的：探讨改良提上睑肌-眼轮匝肌固定法睑成形术矫正轻度上睑下垂的临床疗效及并发症发生率。方法：选取2014年9月-2020年4月收治的轻度上睑下垂患者250例（320眼）做为研究对象，分为观察组（125例，165眼）与对照组（125例，155眼），患者上睑缘均位于瞳孔上缘，提上睑肌肌力6～12mm。观察组采用改良提上睑肌-眼轮匝肌固定法睑成形术治疗，对照组采用提上睑肌缩短术治疗。分析术后即刻、1个月、6个月的治疗效果及并发症情况。结果：观察组患者上睑缘位置恢复至正常，术后即刻无睑裂闭合不全，肿胀较轻；术后1个月仅有5眼出现轻微欠矫，无过矫。观察组近期疗效优于对照组，差异有统计学意义（P＜0.05）。术后6个月重睑弧线流畅自然，并发症发生率（6.06%）明显低于对照组（38.71%），患者满意度（84.00%）高于对照组（52.00%），差异有统计学意义（P＜0.05）。结论：改良提上睑肌-眼轮匝肌固定法睑成形术矫正轻度上睑下垂符合眼部解剖结构及眼球动力学方向，创伤小，可加强提上睑肌肌力，效果可靠，不良反应发生率低。
Abstract:
Objective It is to study clinical therapeutic effect and complication rates of mild blepharoptosis correction by modified levator palpebrae superioris orbicularis oculi fixation blepharoplasty. Methods 250 patients (320 eyes) with mild blepharoptosis treated from September 2014 to April 2020 were selected as the research object and divided into the observation group (125 cases, 165 eyes) and the control group (125 cases, 155 eyes). The upper eyelid margin of the patients was located at the upper edge of pupil, and their levator muscle strength was all 6-12mm. Patients in the observation group were treated by modified levator palpebrae superioris orbicularis oculi fixation blepharoplasty, and in the control group were treated by shortening levator palpebrae muscle . The treatment effect and complications were analyzed immediate after operation, one month after operation and 6 months after operation. Results The position of upper eyelid margin of patients in the observation group returned to normal, and they were without palpebral fissure incomplete closure, only slight swelling found immediate after operation. There was only 5 eyes in the observation group with slight undercorrection and no one with overcorrection one month after operation. The short-term curative effect of the observation group was better than that of the control group, the difference was statistically significant (P ＜0.05). Six months after operation, the double eyelid arc of patients was smooth and natural, and the incidence of complications (6.06%) in the observation group was significantly lower than that of the control group (38.71%), also the patient satisfaction (84.00%) of the observation group higher than that of the control group (52.00%), the differences were statistically significant (P＜0.05). Conclusion Modified levator palpebrae superioris orbicularis oculi fixation blepharoplasty for correcting mild blepharoptosis conforms to ophthalmic anatomy and eyeball dynamics with smaller wound. Levator muscle strength of patients is improved after operation. The effect is reliable and the incidence of adverse reactions is low.

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更新日期/Last Update: 2022-01-17