【摘要】 目的评估提上睑肌延长术治疗特发性上睑退缩的临床效果。方法对7例患者由重睑线切口径路,游离提上睑肌、Müller氏肌复合体,将提上睑肌宽度四等分后分为三部分。中央部分占总宽度的2/4,两侧部分各占1/4。中央部分高度根据矫正上睑退缩量决定,即2 mm矫正上睑退缩1 mm(2∶1)。剪断两侧提上睑肌并后退,断端呈梯状缝合。术后7 d拆线。结果本组患者有迎风流泪者术后明显改善或消失,上下睑闭合良好,7例患者中6例眼睑高度与健侧的高度相差<1 mm,1例眼睑高度较健侧>1 mm,但外形功能良好,不需再手术。无其他并发症发生。结论此术式治疗特发性上睑退缩的临床效果满意,术后并发症少,可用于不同程度上睑退缩的治疗。更多还原

【Abstract】 Objective To evaluate the clinical effect of lengthen of elevator muscle to treat the idiopathic upper eyelid retraction.Methods All the patients underwent a procedure by dissecting the elevator muscle/muller’s complex, and dividing the elevator muscle into 3 parts with the central part a counting for 2/4,the two lateral parts 1/4. We designed to lengthen the central part according the degrees of the upper eyelid retraction,the length of the sutures was twice the amount of desired lowering of the eyelid.Results All the patients had been improved or disappeared and well excursion eyelids after the procedure. Six eyelids were within 1 mm of the desired postoperative position, and one eyelid was more than 1 mm of the desired postoperative position, whose contour of eyelid was acceptable enough not to need additional procedures. There are no complications in all cases.Conclusion The effect of this procedure to treat the idiopathic upper eyelid retraction are more acceptable with less complication and better adaptable to different degrees of retraction.更多还原