论文部分内容阅读
自1995年2月至2000年10月,我们采用额肌肌瓣直接悬吊术治疗先天性上睑下垂150例,效果满意,现分析报告如下: 1 临床资料 1.1 一般资料:先天性上睑下垂150例,男95例,女55例,单眼92例,双眼58例。其中先天性睑四联征3例,合并内眦赘皮5例,已行缝线提吊术失败4例,提上睑肌缩短术失败1例,合并上直肌麻痹2例。 手术适应症:额肌功能良好,提上睑肌功能大部分或完全丧失。 1.2 手术方法:①预设皮肤切口。②麻醉同其它术式。③分离及暴露额肌,在预设的上睑切口处切开皮肤,在皮下组织与眼轮匝肌间作潜行分离,达眶上缘
From February 1995 to October 2000, we used the frontal muscle muscle flap direct suspension in the treatment of congenital ptosis in 150 cases, the results are satisfactory, the analysis is as follows: 1 Clinical data 1.1 General Information: Congenital ptosis 150 cases, 95 males and 55 females, 92 cases of monocular, 58 eyes. Including congenital eyelid quadruple sign in 3 cases, with 5 cases of endometrial epicanthium, suture line suture failed in 4 cases, failed to mention levator muscle shortening in 1 case, combined upper rectus palsy in 2 cases. Surgery indications: frontal muscle function is good, most or completely levator muscle function loss. 1.2 surgical methods: ① preset skin incision. ② anesthesia with other surgical procedures. ③ separation and exposure of the frontal muscle, cut the skin at the preset upper eyelid incision in the subcutaneous tissue and orbicularis muscle between the sneak separation, reaching the supraorbital margin