| 刘 玲,章志扬,王 伟,李 威,杨 琳.提上睑肌缩短术与额肌瓣悬吊术对不同程度先天性上睑下垂的疗效观察[J].,2017,17(29):5677-5680 |
| 提上睑肌缩短术与额肌瓣悬吊术对不同程度先天性上睑下垂的疗效观察 |
| Effect of Levator Palpebrae Superioris Muscle Recession and Frontalis Muscle Suspension on Congenital Ptosis of Different Degrees |
| 投稿时间：2017-05-01 修订日期：2017-05-24 |
| DOI：10.13241/j.cnki.pmb.2017.29.017 |
| 中文关键词: 先天性上睑下垂 提上睑肌缩短术 额肌瓣悬吊术 疗效 |
| 英文关键词: Congenital ptosis Levator palpebrae superioris muscle recession Frontalis muscle suspension Curative effect |
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| 中文摘要: |
| 摘要 目的：对比提上睑肌缩短术和额肌瓣悬吊术对不同程度先天性上睑下垂患者的疗效，为临床上选取合适的术式提供依据。方法：选取2014年8月至2015年12月我院收治的64例先天性上睑下垂患者为研究对象，按随机数字表法分为A组和B组各32例。A组行提上睑肌缩短术，B组行额肌瓣悬吊术。术后定期回访3-12个月，评价两种术式的临床疗效、并发症发生率及术后满意率。结果：A组总有效率为68.75%，低于B组的84.38%，差异有统计学意义（P＜0.05），A组轻度患者的总有效率高于B组，中、重度患者的总有效率低于B组，差异有统计学意义（P＜0.05）。A组并发症发生率为15.63%，低于B组的31.25%，差异有统计学意义（P＜0.05）。A组的术后满意率为37.50%，低于B组的78.13%，差异有统计学意义（P＜0.05），且A组轻度患者术后满意率高于B组，中、重度患者术后满意率低于B组，差异有统计学意义（P＜0.05）。结论：提上睑肌缩短术对轻度先天性上睑下垂患者疗效较好，额肌瓣悬吊术对中、重度先天性上睑下垂患者疗效较好，临床应根据患者病情程度选择合适的治疗术式。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the curative effect of levator palpebrae superioris muscle recession and frontalis muscle sus- pension on congenital ptosis of different degrees,in order to provide a basis for selecting appropriate surgical methods in clinic. Methods: A total of 64 patients with congenital ptosis, who were treated in First People's Hospital of Xuzhou from August 2014 to December 2015, were selected and randomly divided into group A(n=32) and group B(n=32). Group A was treated with levator palpebrae superioris mus- cle recession, while group B was treated with frontalis muscle suspension. The patients were regularly followed up for 3-12 months. The clinical efficacy, complication rate and postoperative satisfaction rate of two kinds of surgical procedures were evaluated. Results: The ef- fective rate(68.75%) of group A was lower than that(84.38%) of group B, the difference was statistically significant (P<0.05). The effective rate of mild patients in group A was higher than that of group B, and the effective rates of moderate and severe patients in group A were lower than those of group B,and the differences were statistically significant (P<0.05). The incidence of complications(15.63%) in group A was lower than that(31.25%) in group B,the difference was statistically significant(P<0.05). The postoperative satisfaction rate(37.50%) of group A was lower than that(78.13%) in group B, the difference was statistically significant (P<0.05). The postoperative sat- isfaction rate of mild patients in group A was higher than that of group B, and the postoperative satisfaction rates of moderate and severe patients in group A were lower than those of group B,the differences were statistically significant(P<0.05). Conclusion: The levator palpebrae superioris muscle recession has a better effect on mild patients with congenital ptosis, while the frontalis muscle suspension has a better effect on moderate and severe patients with congenital ptosis.The surgical methods in clinic should be selected according to the patient's condition. |
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