[1]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):36-38.
　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,(11):36-38.
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 额肌瓣悬吊术与上睑提肌缩短术矫治上睑下垂疗效比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
36-38
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Comparison of the Effect of Frontalis Muscle Flap Suspension and Levator Palpebrae
Superioris Muscle Shortening in the Treatment of Blepharoptosis
文章编号:
1008-6455（2019）11-0036-04
作者:
 王新玲; 王建宏
Author(s):
 WANG Xin-ling; WANG Jian-hong
关键词:
 ; [关键词]额肌瓣悬吊术; 上睑提肌缩短术; 上睑下垂; 上睑回退; 眼睑闭合不全
Keywords:
 ; Key words: frontal muscle flap suspension;  shortening of levator palpebrae superioris;  blepharoptosis;  upper eyelid retraction; eyelid closure insufficiency
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探究额肌瓣悬吊术对于上睑下垂患者的治疗效果和术后并发症的影响。方法：选取2017年5月-2019年5月笔者
医院眼科收治的60例上睑下垂患者，随机分为对照组（30例）和观察组（30例）。对照组行上睑提肌缩短术，观察组行额肌
瓣悬吊术，比较两组疗效、上睑回退量、眼睑闭合不全及瞬目次数、手术并发症发生率。结果：观察组总有效率为93.33%，
高于对照组的66.67%，差异有统计学意义（χ2=5.100，P =0.020）。观察组术后6个月、术后9个月、术后12个月的上睑回退
量均显著低于对照组，差异均有统计学意义（P ＜0.05）。术后1d和术后10d的观察组眼睑闭合不全量均显著小于对照组，瞬
目次数均显著多于对照组，差异均有统计学意义（P ＜0.05）。观察组并发症总发生率为6.67%，低于对照组的30.00%，差异
有统计学意义（χ2=4.010，P =0.049）。结论：与上睑提肌缩短术比较，额肌瓣悬吊术对于上睑下垂患者具有较好的矫治效
果，可有效改善上睑下垂患者眼睑闭合不全情况，避免上睑回退，可降低术后并发症发生率。

Abstract:
Abstract: Objective To explore the therapeutic effect of frontalis muscle flap suspension on blepharoptosis patients and the
application value of postoperative complications. Methods From May 2017 to May 2019, 60 patients with blepharoptosis
were randomly divided into the control group (30 cases) and the observation group (30 cases). The control group was
treated with levator palpebrae superioris muscle shortening operation, while the observation group was treated with frontalis
muscle flap suspension operation. The curative effect, upper eyelid retraction amount, eyelid closure insufficiency, blink
frequency and incidence rate of surgical complications were compared between the two groups. Results The total effective
rate of the observation group was 93.33% higher than that of the control group (66.67%), the difference was statistically
significant(χ2=5.100, P =0.020). The amount of upper eyelid retraction in the observation group was significantly lower than that
in the control group at 6 months, 9 months and 12 months after operation(P ＜0.05). The number of blinks in the observation
group was significantly higher than that in the control group(P ＜0.05). The total incidence of complications in the observation
group was 6.67%, lower than that in the control group(30.00%, χ2=4.010, P =0.049). Conclusion Comparing with levator
palpebrae superioris muscle shortening surgery, frontalis muscle flap suspension surgery has better correction effect in the
treatment of severe blepharoptosis, and can effectively improve the eyelid closure insufficiency and blink condition of patients.

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更新日期/Last Update: 2019-12-09