摘要
在治疗先天性睑裂狭小综合征时,为了在下险保持一定张力的同时并不明显增加上睑的张力,行部分内眦韧带缩短术,并根据患者的要求和术中上睑的张力情况,采用叉形额肌腱膜悬吊术Ⅰ期或Ⅱ期(间隔2周)矫正上睑下垂。共治疗21例患者,术后随访7年余,经对两个方案手术前和随访时结果的比较,证实均能达到开大睑裂和充分上提上险的目的,效果满意。
According to our observation and treatment on 21 CES cases,they could be divided into two types,and the distinction was the developing condition of palpebral tissues.Beside the two stage technique to treat 13 CES cases,the one stage technique was also used to treat 8 CES cases by modifica- tion of the management of medial canthal ligament,e.g.partially shortening the lateral part of the su- perficial head of medial canthal ligament.The key is the amount of the horizontal tension of upper eyelid subsequent to medial canthoplasty.The follow-up time was 7 years.Comparing the pre- and post-oper- ative examination results of both one stage and two stage techniques,it was shown that both of them could achieve the goals of enlarging the eyelid fissure and completely elevating the upper eyelid.
