上睑下垂手术治疗方法的回顾性分析

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1、-SURGICALTHERAPYOFBLEPHAROPTOSISAnOverviewABSTRACTObjective:Toreviewandsummarizethesurgicaltechniquesofblepharoptosismayhelpdoctorschooseopticalproceedurefortreatmentofblepharoptosis.Methods:Theliteratures(fromPubmedandCNKI)aboutsurgicaltechniquestocorrectblepharoptosiswereretrievedandclassifiedac

2、cordingtooperativepriciples.Inordertoexcludethelow-qualityarticles,wesetsomecriteria.Alltheprocedurescomparedintheformoftablesandcharts.Result:Afterretrieving,269literatures(domestic177andabroad92)wereobtainfollowingthecriteria.Alltheproceduresdescribedintheliteraturesweredividedintosixcategories:

3、tarsalrescetion,conjunctiva-Mullermuscleresection,frontalismuscleslingandWhitnallVII---ligamentsling.Amongalltheseprocedures,thefrontalissling(70%)andthelevatormuscleprocedures(17%)arethemostwidelyusedintheliteratures.Themostcommoncomplicationinblepharoptosissurgeriesisundercorrection,occur6-7%.Th

4、efrontalisslingusingdifferentmaterialshavethehigherrecurrenceandinfectionratethanthedirectfrontalismusclesling.Conclusion:Thesurgeriesusingfrontalismusclearemainlyselectedforsevereblepharoptosis.Thesurgeriesusinglevatormusclewereselectedformildormoderateblepharoptosis.Thecommoncomplicationofallble

5、pharoptosissurgeriesisundercorrection.Werecommendlevatormusclesurgerytobethefirstchoicebecauseitcanattainbetterresultinphysiology.Keywords:blepharoplasty，blepharoptosis，correctionVIII---表目录表1检索词及检索结果⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯4表2上睑下垂手术方法检索分类结果统计⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯6表3睑板结膜切除术（Fasanella-Servat术）相关文献数据⋯⋯⋯

6、⋯⋯⋯⋯⋯⋯⋯⋯7表4Muller肌切除术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯7表5上睑提肌折叠术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯8表6上睑提肌缩短术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯8表7额肌（筋膜）瓣悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯9表8额肌间接悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯11表9眼轮匝肌-额肌悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯14表10额肌-SMAS悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯15表11上睑提肌-额肌悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯

7、⋯⋯⋯⋯⋯⋯⋯⋯15表12额肌-眶隔筋膜瓣悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯16表13Whitnall韧带悬吊术相关文献数据⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯16表14各种悬吊材料的并发症发生率⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯22XII---图目录图1上睑下垂各类手术文献总的分布情况⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯17图2国内上睑下垂各类手术文献的分布情况⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯⋯