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近年来,临床上使用提上睑肌缩短术治疗上睑下垂日渐普遍,但仍然以内路经结膜面或外路经皮肤面切口的方法为主。自从Putterman介绍了提上睑肌经结膜面游离和经皮肤面截腱的手术以后,1974年起,作者对近50例提上睑肌功能未完全丧失的上睑下垂患者施行了这种联合切口的手术,在一些环节上改进了Putterman的操作,觉得效果满意。在临床实践中发现联合切口的方法较单一经结膜面或皮肤面切口的方法优越性多。因为在经结膜切口时能迅速完整地剥离提上睑肌,再经外部皮肤切口则能更恰当地测量和调整提上睑肌缩短的份量、上睑缘弯曲度和睑皱褶的部位,使手术效果更为确切可靠。本文对联合切口的手术方法作重点介绍和讨论。
In recent years, the clinical use of levator tendon patella treatment of ptosis is increasingly common, but still within the road through the conjunctiva or external transcutaneous skin incision method based. Since Putterman introduced the levator palpebraioplasty and transdermal facial truncus tendinopathy, the authors performed such a joint incision in 1974 on nearly 50 patients with blepharoptosis who did not have complete loss of upper levator muscle function Of the operation, in some aspects to improve the Putterman’s operation, that the results are satisfactory. In clinical practice found that the combined incision approach than the single conjunctiva or skin incision method is superior. Because the rapid and complete dissection of the levator tendon at the time of transconjunctival incision and then through the external skin incision can more appropriately measure and adjust the amount of levator muscle shortening, the curvature of the upper eyelid and the site of eyelid folds Surgical results more accurate and reliable. This article focuses on the surgical approach to incision and discussion.