[1]李 凯,秦 巍,周 明,等. 三瓣吻合矫正术治疗重度上睑下垂的生理功能及美学效果观察[J].中国美容医学,2019,(01):15-18.
 LI Kai,QIN Wei,ZHOU Ming,et al. Observation on the Physiological Function and Cosmetic Effect of Three-valveAnastomosis in the Treatment of Severe Orbital Ptosis[J].Medical Aesthetics and Beauty,2019,(01):15-18.
点击复制

 三瓣吻合矫正术治疗重度上睑下垂的生理功能及美学效果观察

()
分享到:

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年01期
页码:
15-18
栏目:
出版日期:
2019-01-15

文章信息/Info

Title:
 Observation on the Physiological Function and Cosmetic Effect of Three-valve
Anastomosis in the Treatment of Severe Orbital Ptosis
文章编号:
1008-6455(2019)01-0015-04
作者:
 李 凯秦 巍周 明孙同祖胡 尧
Author(s):
 LI KaiQIN WeiZHOU MingSUN Tong-zuHU Yao
关键词:
 [关键词]上睑下垂重度三瓣吻合矫正术提上睑肌缩短联合翼状韧带悬吊术生理功能美学效果
Keywords:
 Key words: blepharoptosis severe three-valve anastomosis correction levator palpebrae muscle shortening combined withpterygoid ligament suspension physiological function aesthetic effect
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的:观察三瓣吻合矫正术治疗重度上睑下垂的生理功能及美学效果。方法:选取笔者医院2015年2月-2018年2月收
治的84例重度上睑下垂患者,按随机数表法分为观察组与对照组,每组42例。对照组采取提上睑肌缩短联合翼状韧带悬吊
术,观察组采取三瓣吻合矫正术。比较两组术后3个月的总有效率、术前及术后3个月的眼睑自然闭合时睑裂高度、上睑活动
度及术后3个月的美学评分。结果:观察组与对照组总有效率分别为97.62%与90.48%,差异无统计学意义(P >0.05)。观察组
整体疗效优于对照组,差异有统计学意义(P <0.05)。两组术前眼睑自然闭合时睑裂高度与上睑活动度比较,差异无统计学
意义(P >0.05)。术后3个月,两组眼睑自然闭合时睑裂高度均较术前降低、上睑活动度较术前增大(P <0.05)。观察组术后
3个月的眼睑自然闭合时睑裂高度为(1.33±0.28)mm,低于对照组(1.89±0.35)mm,上睑活动度为(5.17±1.21)mm,高于对
照组(4.49±1.01)mm,差异有统计学意义(P<0.05)。观察组术后3个月的美学效果总评分为(8.67±0.20)分,高于对照组的
(8.04±0.34)分,差异有统计学意义(P <0.05)。结论:三瓣吻合矫正术治疗重度上睑下垂可有效改善提上睑肌肌力,改善
眼睑生理功能,获得理想美学效果,疗效优于提上睑肌缩短联合翼状韧带悬吊术,可作为重度上睑下垂的首选方案。
Abstract:
Abstract: Objective To observe the physiological function and cosmetic effect of orbital anastomosis for the treatment of
severe upper eyelid ptosis. Methods A total of 84 patients with severe upper eyelid ptosis who were admitted to our hospital
from February 2015 to February 2018 were enrolled and divided into the observation group and the control group according
to the random number table method, with 42 cases in each group. The control group was treated with the shortening levator
palpebrae superioris combined with suspension of pterygoid ligament, and the observation group was treated with three-valve
anastomosis. The total effective rate at 3 months after operation, the cleft palate height when the eyelid is naturally closed, the
activity of the upper eyelid before operation and 3 months after operation, the cosmetic score of 3 months after operation were
compared between the two groups. Results The total effective rate of the observation group and the control group were 97.62%
and 90.48%, the difference was not statistically significant (P >0.05). The overall efficacy of the observation group was better
than that of the control group, and the difference was statistically significant (P <0.05). There were no significant difference
in the cleft palate height when the eyelid is naturally closed, the activity of the upper eyelid between the two groups before
operation (P >0.05). At 3 months after operation, the cleft palate height when the eyelid is naturally closed of two groups were
significantly lower than those before operation, and the activity of the upper eyelid of two groups were increased compared
than that before operation (P <0.05). The cleft palate height when the eyelid is naturally closed at 3 months after operation in
the observation group was (1.33±0.28)mm, which was lower than that in control group (1.89±0.35)mm, and the activity of the
upper jaw at 3 months after operation in the observation group was (5.17±1.21)mm, which was higher than that in control group
(4.49±1.01)mm , the difference were statistically significant (P <0.05). The total score of cosmetic performance at 3 months after
operation in the observation group was (8.67±0.20) points, which was higher than that in the control group (8.04±0.34) points,
the difference was statistically significant (P <0.05). Conclusion The three-valve anastomosis for the treatment of severe
upper eyelid ptosis can effectively improve the muscle strength of the upper eyelid and improve the physiological function
of the eyelid, with ideal cosmetic effect, the curative effect is better than that of the shortening levator palpebrae superioris
combined with suspension of pterygoid ligament, which can be used as the preferred treatment plan for severe ptosis.

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,(01):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,(01):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,(01):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,(01):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,(01):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,(01):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,(01):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,(01):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,(01):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,(01):27.
[11]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.
[12]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