眶隔后壁-上睑提肌复合体折叠法矫正轻度上睑下垂的临床疗效分析

目的探讨眶隔后壁-上睑提肌复合体折叠法矫正轻度上睑下垂的效果。方法回顾性分析北京大学深圳医院2018年1月至2020年1月收治的轻度上睑下垂患者的临床资料,均由同一术者应用眶隔后壁-上睑提肌复合体折叠法进行治疗,记录术后并发症;术后6个月评估双眼对称性,包括优、良好、差;术后12个月评价上睑下垂矫正效果,包括矫正良好、基本矫正、矫正欠佳、矫正过度。结果共纳入85例患者,男36例,女49例,年龄(25.0±4.1)岁,其中双侧62例,单侧23例。获随访12个月。术后所有患者无血肿、感染、暴露性角膜炎、穹隆结膜脱垂等并发症发生。85例中双眼对称性达优者63例,良好17例,差5例,优良率为94.1%(80/85)。上睑下垂矫正良好72例,基本矫正9例,矫正欠佳4例,手术有效率为95.3%(81/85)。结论应用眶隔后壁-上睑提肌复合体折叠法矫正轻度上睑下垂,操作简单、易掌握,损伤较小,安全而有效。

Plication of the posterior orbital septal fascia-levator muscle complex for mild blepharoptosis correction

Objective To investigate the clinical effect of posterior orbital septal fascia-levator muscle complex overlapping technique in the treating of mild ptosis.Methods Clinical data of patients with mild blepharoptosis admitted to Peking University Shenzhen Hospital from January 2018 to January 2020 were retrospectively analyzed.All patients were treated by the same surgeon with folding of posterior orbital septal fascia-levator muscle complex.Postoperative complications were recorded.Binocular symmetry like excellent,good and poor at 6 months postoperatively was evaluated.The correction effect of blepharoptosis was evaluated 12 months after operation,including good correction,basic correction,poor correction and excessive correction.Results A total of 85 patients(36 males and 49 females,25.0±4.1 years old)were enrolled,including 62 bilateral and 23 unilateral blepharoptosis patients.The patients were followed up for 12 months.No complications such as hematoma,infection,exposed keratitis or fornical conjunctival prolapse occurred.Among the 85 cases,63 cases had excellent binocular symmetry,17 cases had good binocular symmetry,and 5 cases had poor binocular symmetry.The excellent/good rate was 94.1%(80/85).72 cases of blepharoptosis were well corrected,9 cases were basically corrected and 4 cases were poorly corrected.The effective rate was 95.3%(81/85).Conclusions For mild ptosis,plication of the posterior orbital septal fascia-levator muscle complex is safe and effective operation method with minimal injury,and easy to grasp.