[1]汪 辉,胡春明,何艳楠,等. 眶隔筋膜瓣结合额肌瓣悬吊术治疗重度上睑下垂的疗效及对屈光状态的影响[J].中国美容医学,2019,(03):50-53.
　WANG Hui,HU Chun-ming,HE Yan-nan,et al. Effect of Orbital Septal Fascial Flap Combined with Frontal Muscle Flap Suspensionin the treatment of severe ptosis and its influence on the refractive state[J].Medical Aesthetics and Beauty,2019,(03):50-53.
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 眶隔筋膜瓣结合额肌瓣悬吊术治疗重度上睑下垂的疗效及对
屈光状态的影响
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年03期
页码:
50-53
栏目:
出版日期:
2019-03-11

文章信息/Info

Title:
 Effect of Orbital Septal Fascial Flap Combined with Frontal Muscle Flap Suspension
in the treatment of severe ptosis and its influence on the refractive state
文章编号:
1008-6455（2019）03-0050-04
作者:
汪 辉1; 胡春明2; 何艳楠3; 周 燕1; 胡道玲1
Author(s):
WANG Hui1; HU Chun-ming2; HE Yan-nan3; ZHOU Yan1; HU Dao-ling1
关键词:
 ; [关键词]重度上睑下垂; 单切口额肌筋膜瓣悬吊术; 眶隔筋膜瓣联合额肌瓣悬吊术; 屈光; 散光; 上睑回缩量
Keywords:
Key words: severe ptosis of upper eyelid;  single-incision frontal muscle fascial flap suspension;  orbital septal fascial flapcombined with frontal muscle flap suspension;  refraction;  astigmatism;  upper eyelid retraction
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨眶隔筋膜瓣结合额肌瓣悬吊术对重度上睑下垂的远期疗效及屈光状态的影响。方法：选取2016年8月-2017年
8月笔者医院收治的重度上睑下垂患者84例（128眼），随机分为两组，对照组应用单切口额肌筋膜瓣悬吊术治疗，研究组应用
眶隔筋膜瓣联合额肌瓣悬吊术治疗。比较两组矫正率、上睑回缩量及双侧眼睑对称程度。结果：两组总矫正率比较（100.0% vs
98.4%），差异无统计学意义（P＞0.05），但研究组完全矫正率为75.0%明显多于对照组的56.3%，差异有统计学意义（P＜0.05）。
术后6个月，研究组患者的上睑回缩量明显低于对照组[（0.16±0.02）mm vs （0.41±0.03）mm，P＜0.05]；研究组患者的上睑缘
恢复对称程度、上睑缘形态及眼睑闭合程度均优于对照组，差异有统计学意义（P＜0.05）。两组患者的角膜屈光度和角膜散光度
比较，差异无统计学意义（P＞0.05）。结论：在针对重度上睑下垂的治疗过程当中，应用眶隔筋膜瓣联合额肌瓣悬吊术的治疗
效果理想，临床上应当进一步推广应用。

Abstract:

Abstract: Objective To investigate the effect of orbital septum fascial flap combined with frontal muscle flap
suspension on severe ptosis and the influence of refractive state. Methods From August 2016 to August 2017, 84
patients (128 eyes) with severe blepharoptosis were randomly divided into two groups. The control group was treated
with single incision frontalis myofascial flap suspension. The study group was treated with orbital septum fascial flap
combined with frontalis muscle flap suspension. Results There was no significant difference in the total correction
rate between the two groups (P ＞0.05), but the complete correction rate in the study group was significantly higher than
that in the control group (75.0% vs 56.3%,P ＜0.05). At 6 months after operation, the upper eyelid retraction of the study
group was significantly lower than that of the control group [(0.16±0.02)mm vs (0.41±0.03)mm,P ＜0.05). The symmetry of
upper eyelid margin, shape of upper eyelid margin and closure of eyelid in the study group were better than those in the control
group (P＜0.05). There was no significant difference in corneal diopter and corneal astigmatism between the study group and the
control group (P＞0.05). Conclusion In the treatment of severe blepharoptosis, orbital septum fascial flap combined with frontalis
muscle flap suspension is an ideal method, which should be further popularized in clinic.

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更新日期/Last Update: 2019-04-01