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目的探讨重睑术后并发上睑下垂的发生原因及其解决方法。方法对25例重睑术后并发上睑下垂患者行矫正术,术中根据粘连的情况分析其产生的原因,并根据不同原因采取不同的解决方法。结果根据分析,其可能发生的原因主要是手术操作不当导致上睑提肌腱膜损伤和腱膜与眶隔或皮肤发生粘连导致上睑提肌的负荷增加或功能受限。结论上睑局部解剖结构在重睑术中有重要意义。熟悉眼睑的解剖层次,并谨慎操作,可避免重睑术后上睑下垂并发症的发生。
Objective To investigate the causes of double eyelid ptosis and its solution. Methods Twenty - five patients with double eyelid complicated with ptosis underwent orthodontic treatment. During the operation, the causes of the adhesion were analyzed and different solutions were adopted according to different reasons. Results According to the analysis, it may occur because of improper surgical procedures leading to levator aponeurosis and adhesion of the aponeurosis to the orbital septum or skin leading to increased load or limited function of the levator muscle. Conclusion The anatomy of the upper eyelid is of great importance in double eyelid surgery. Familiar with the eyelid anatomy, and careful operation, to avoid double eyelid ptosis complications.