【摘要】 目的探讨同期内眦和外眦成形术联合上睑下垂矫正术,矫治先天性睑裂狭小综合征的临床效果。方法2002年1月～2006年5月,采用内眦和外眦成形术联合上睑下垂矫正术,矫治先天性睑裂狭小综合征26例。男16例,女10例;年龄3～35岁,平均8.5岁。均为双侧重度上睑下垂,上睑肌力0～3mm,睑裂横径13～22mm,睑裂纵径2～4mm,内眦间距33～44mm,上睑动度1～3mm。26例均行内眦开大和内眦赘皮矫正术以及额肌筋膜瓣悬吊术,其中12例联合行外眦开大成形术。结果术后内眦赘皮消失,睑裂横径24～32mm,睑裂纵径6～8mm,内眦间距为29～34mm,上睑动度4～6mm,重睑线自然美观。术后获随访3个月～4年,效果良好。结论同期进行内眦和外眦成形术及上睑下垂矫正术治疗先天性睑裂狭小综合征,缩短了手术修复周期,效果确切可靠。更多还原

【Abstract】 Objective To explore the clinical effect of combining medial and lateral canthoplasty with blepharoptosis correction at one-stage for congenital blepharophimosis syndrome. Methods From January 2002 to May 2006, 26 patients(52 sides) with congenital blepharophimosis syndrome were treated. There were 16 males and 10 females, aging from 3 to 35 years (mean 8.5 years). They were all bilateral blepharoptosis significantly. The palpebral muscle force was 0-3 mm; the transverse dimension and vertical dimension of the palpebral fissue were 13-22 mm and 2-4 mm; the intercanthal distance was 33-44 mm; the levator function was 1-3 mm. Results Twenty-six patients underwent medial canthoplasty and blepharoptosis correction, of them, 12 patients were also given lateral canthoplasty at one-stage. The postoperative transverse dimension and vertical dimension of the palpebral fissue were 6-8 mm and 24-32 mm, respectively. The intercanthal distance was 29-34 mm. The levator function was 4-6 mm. The supratarsal fold in the upper lid was natural. With a follow up of 3 months to 4 years,all patients were satisfied with their results. Conclusion One-stage surgical treatment of combining medial and lateral canthoplasty with blepharoptosis correction can achieve good result for blepharophimosis syndrome with a shortened treatment time.更多还原