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显微镜下提上睑肌缩短术矫正先天性上睑下垂临床观察
引用本文:张洪勋,刘毅,李宏科,吴玮,黄玲,宋林,石淑英.显微镜下提上睑肌缩短术矫正先天性上睑下垂临床观察[J].国际眼科杂志,2011,11(2):363-364.
作者姓名:张洪勋  刘毅  李宏科  吴玮  黄玲  宋林  石淑英
作者单位:中国人民解放军第15医院眼科,中国新疆维吾尔自治区乌苏市,833000
摘    要:目的:观察利用显微器械在显微镜下行提上睑肌缩短术治疗先天性上睑下垂的效果。方法:显微镜下行提上睑肌缩短术18例20眼,观察术后局部反应及矫正效果。结果:随访观察0.5~2a,手术结果判定为I级(良好)18眼,II级(尚好)2眼,手术后眼睑水肿、结膜充血轻微,无穹窿结膜撕裂、脱垂、睑内外翻及闭合不全者。结论:显微镜下提上睑肌缩短术解剖层次清晰,分离组织彻底,损伤轻微,使手术操作更精确,缩短手术时间,术后反应轻,扩大了手术适应证。

关 键 词:先天性上睑下垂  提上睑肌缩短术  显微镜  显微器械

Levator shortening under microscope for treatment of congenital ptosis
Hong-Xun Zhang,Yi Liu,Hong-Ke Li,Wei Wu,Ling Huang,Lin Song and Shu-Ying Shi.Levator shortening under microscope for treatment of congenital ptosis[J].International Journal of Ophthalmology,2011,11(2):363-364.
Authors:Hong-Xun Zhang  Yi Liu  Hong-Ke Li  Wei Wu  Ling Huang  Lin Song and Shu-Ying Shi
Institution:Department of Ophthalmology,the 15th Hospital of Chinese PLA,Wusu 833000,Xinjiang Uygur Autonomous Region,China
Abstract:AIM:To investigate the effect of levator shortening under microscope and micro-instrument.METHODS:Eighteen cases(20 eyes) with congenital ptosis were treated levator shortening under microscope.RESULTS:The follow-up of all cases ranged from 0.5 to 2 years postoperatively.18 eyes obtained fine results.2 eyes were effective.CONCLUSION:Levator shortening under microscope is an effective method.The anatomical structure is clear.Its hurt is slight,and it has accurate operation and less surgical time.
Keywords:congenital ptosis  levator shortening  microscope  micro-instrument
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