上海交通大学学报(医学版) ›› 2017, Vol. 37 ›› Issue (6): 764-.doi: 10.3969/j.issn.1674-8115.2017.06.009

• 论著(临床研究) • 上一篇    下一篇

改良提上睑肌延长术治疗甲状腺相关眼病引起的上睑退缩

孙静 *,张艺丹 *,刘星彤,钟思思,王洋,周慧芳 #,范先群 #   

  1. 上海交通大学 医学院附属第九人民医院眼科,上海 200011
  • 出版日期:2017-06-28 发布日期:2017-07-05
  • 通讯作者: 周慧芳,电子信箱:fangzzfang@163.com。范先群,电子信箱:fanxq@sh163.net。# 共同通信作者。
  • 作者简介:?孙 静(1982—),女,达斡尔族,主治医师,博士;电子信箱:sophiasj@126.com。张艺丹(1984—),女,苗族,住院医师,硕士;电子信箱: zhangyd513@126.com。* 共同第一作者
  • 基金资助:

     国家自然科学基金(81300799);上海市基础研究重点项目(12JC1403800);上海市教育委员会高峰高原学科建设计划(20152228);上海高校青年教师 培养资助计划(ZZjdyx13122)

Modified levator lengthening for thyroid-associated ophthalmopathy related upper eyelid retraction

SUN Jing*, ZHANG Yi-dan*, LIU Xing-tong, ZHONG Si-si, WANG Yang, ZHOU Hui-fang#, FAN Xian-qun#   

  1. Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2017-06-28 Published:2017-07-05
  • Supported by:

    National Natural Science Foundation of China, 81300799; Key Project of Basic Research in Shanghai, 12JC1403800; Shanghai Municipal Education Commission–Gaofeng Clinical Medicine Grant Support (20152228); Shanghai College Young Teacher Cultivation Program, ZZjdyx13122

摘要:

目的 · 研究旨在改进上睑退缩的手术方式,提高临床疗效。方法 · 选取 2013 年 7 月至 2014 年 12 月在上海交通大学医学院附 属第九人民医院眼科就诊的甲状腺相关眼病引起的上睑退缩 2 ~ 5 mm 的患者,应用改良的提上睑肌延长术进行矫治,观察术后眼部 不适和外观的改善情况。结果 · 共计 34 例 (43 眼 ) 上睑退缩患者接受了改良的提上睑肌延长术,其中男性 7 例,女性 27 例。术后 6 个月,25 例患者上睑退缩完全矫正,9 例患者明显改善;患者睑裂高度平均下降 3.7 mm(P=0.000),眼睑闭合不全、眼部不适、畏光 流泪等症状均获得治愈或改善。结论 · 改良的提上睑肌延长术能够有效矫正上睑退缩,改善患者外观和治疗患者眼部不适。

关键词: &ensp, 甲状腺相关眼病, 上睑退缩, 提上睑肌延长术

Abstract:

Objective · To improve the surgical procedure of correcting upper eyelid retraction.  Methods · Patients suffering upper eyelid retraction of 2-5 mm caused by thyroid-associated ophthalmopathy were treated with modified levator lengthening technique in Shanghai Ninth People’s Hospital (Shanghai Jiao Tong University School of Medicine, China) from July 2013 to December 2014.  Results · Of the 34 patients underwent the modified levator lengthening surgery for upper eyelid retraction correction, there were 7 males and 27 females. After 6 months, upper eyelid retraction got fully resolved in 25 cases and partly improved in 9 cases. The palpebral fissure height demonstrated an average decrease of 3.7 mm (P=0.000). Patient’s ocular discomfort such as photophobia and tearing were either cured or improved.  Conclusion · Modified levator lengthening surgery can effectively correct upper eyelid retraction, improve the patient's appearance and cure their ocular discomfort.

Key words:  thyroid-associated ophthalmopathy, upper eyelid retraction, levator lengthening