健康大视野·医学分册2023,Issue(4) :52-54.DOI:10.3969/j.issn.1005-0019.2023.04.018

改良上睑提肌缩短前徙术治疗上睑下垂的效果及并发症观察

王莉
健康大视野·医学分册2023,Issue(4) :52-54.DOI:10.3969/j.issn.1005-0019.2023.04.018

改良上睑提肌缩短前徙术治疗上睑下垂的效果及并发症观察

王莉1
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作者信息

  • 1. 山东省济宁市金乡县人民医院眼科,山东 济宁 272200
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摘要

目的:研究上睑下垂患者行改良上睑提肌缩短前徙术治疗的效果.方法:数据取自本院2020年1月-2022年8月收治的92例上睑下垂患者,"随机分组法"分基础组(提上睑肌缩短术)、改良组(改良上睑提肌缩短前徙术)各46例,两组疗效比较.结果:术后较基础组,改良组SF-36评分更高;术后1月、6月后较基础组,改良组上睑回退量更小、额肌力评分更高;术后1d、10d后较基础组,改良组瞬目次数更高,眼睑闭合不全更低;改良组矫正有效率(97.83%)高于基础组(86.96%),P < 0.05(具统计学意义).结论:改良

Abstract

Objective To study the effect of shortened anterior migration of levator muscle of upper eyelid in patients with ptosis. Methods: Data were collected from 92 cases of ptosis patients admitted to our hospital from January 2020 to August 2022, and were divided into the basic group (shortening of levator muscle of upper eyelid) and the improved group (improved shortening of levator muscle of upper eyelid) with 46 cases in each group by "randomization method". The efficacy of the two groups was compared. Results: Compared with the basic group, the SF-36 score of the improved group was higher after operation. 1 month and 6 months after surgery, the improved group had lower upper eyelid regression and higher frontal muscle strength score than the basic group. Compared with the basic group, the improved group had a higher number of blink and a lower number of incomplete eyelid 1 and 10 days after surgery. The effective rate of correction in the improved group (97.83%) was higher than that in the basic group (86.96%), P<0.05(statistically significant). Conclusion: Modified levator muscle of upper eyelid shortening in the treatment of ptosis can improve life and eyelid conditions, reduce blink and eyelid insufficiency, and improve the correction effect, which is worthy of respect.

关键词

改良上睑提肌缩短前徙术/上睑下垂/生活质量/满意度/并发症

Key words

Modified levator palpebrae superioris muscle shortening and recession/Ptosis of upper eyelid/Quality of life/Satisfaction/complication

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出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
参考文献量6
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