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先天性上睑下垂的早期手术治疗

Early surgery of congenital ptosis in children

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【作者】 毛娅妮项道满

【Author】 MAO Ya-ni,XIANG Dao-man (Department of Ophthalmic,Children Hospital of Guandzhou City, Guangzhou,Guangdong 510120,China

【机构】 广州市儿童医院眼科广州市儿童医院眼科 广东广州510120广东广州510120

【摘要】 目的 探讨早期治疗儿童先天性上脸下垂的手术方法。方法 按重睑成形术原则设计重睑线 ,作眼睑和眉弓下切口 ,作一上宽 2cm ,下宽 1.5cm的额肌瓣 ,并将其缝合于睑板上缘处。结果 共治疗儿童先天性上睑下垂 10 8例 (135只眼 ) ,并随访观察 6~ 2 4个月 ,平均 1年 ,133眼一次手术成功 ,双重睑自然美观 ,无畸形。 1眼出现术后出血 ,1眼术后复发再次手术后得到满意效果。结论 该术式简单有效 ,是上睑下垂首选手术 ,手术年龄以 2~ 6岁较适宜。

【Abstract】 Objective:To investigate the method of early surger for cornection of congenital ptosis in children.Methods: Dual eyelid line was designed according to the rule of dual eyelid plastic operation.An ajuvant incision was made under arch.A musculus frontatis flap with upper side 2 cm and low side 1.5 cm was designed.Musculus frontatis flap was sewn to the upper edge of tarsal plate.Results: One hundred and eight cases(135 eyes)have been treated and followed-up 0.5~2 years average 1 years.133 eyes obtained success by the initial operation.The apperance of dual eyelid was natural,pretty and no deformity.One eyes bleeded and one eyes had less effects after operation.They were cured by a further surgery.Conclusions:This operation is simple and very effective.It is the preferential choice operation for ptosis.The suitable age is 2~6 years.

【关键词】 上睑下垂先天性额肌瓣悬吊术
【Key words】 ptosiscongenitalfrontalis suspending
  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2004年02期
  • 【分类号】R779.6
  • 【被引频次】7
  • 【下载频次】55
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