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【【摘要】】 目的 分析提上睑肌缩短治疗重度先天性上睑下垂术中要点并观察疗效。方法 术前明确诊断为重度先天性上睑下垂患者,施行提上睑肌缩短术,观察眼睑位置、弧度及并发症。结果 14例1 眼患者,有12例14眼矫正良好,2例2眼矫正不足,经二次手术后矫正满意。结论 提上睑肌缩短术治疗重度先天性上睑下垂,疗效满意,可作为首选术式。 【关键词】 重度;上睑下垂;提上睑肌缩短术 The operation points of levator shortening in severe congenital ptosis. LIN Xue,jun, ZHU Xing,ping, HE Ling, et al.The Second Hospital of Dafeng,Dafeng 224100,China. 【Abstract】 Objective To analyze the operation points and observe the effect of levator shortening in severe congenital ptosis. Methods We performed levator shortening operation on patients with severe congenital ptosis diagnosed preoperation and examined the eyelid position, curvature and complications. Results 1 eyes of 14 patients were studied,12 eyes of 14 patients were well corrected,2 eyes of 2 patients were undercorrected and satisfied by the second corrective surgery. Conclusion Levator shortening operation is an effective method in treatment with severe congenital ptosis and can be used as the preferred surgical procedures. 【Key words】 Severe;Congenital ptosis;Levator shortening 先天性上睑下垂是眼科常见病,其治疗方法为手术治疗。过去,提上睑肌缩短术因其符合生理解剖,术后睑缘弧度自然,并发症少,而作为轻中度上睑下垂的首选术式。从200 年2月至2009年10月间,我们用提上睑肌缩短术治疗重度先天性上睑下垂,疗效满意,现报告如下。 1 资料与方法 1.1 一般资料 200 年2月至2009年10月间,我们共收治了14例1 眼重度先天性上睑下垂患者。其中男11例13眼、女3例3眼,年龄1~2 岁,平均10.85岁。患者均按先天性上睑下垂诊断标准,提上睑肌活动度 |
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