用于亚洲人眼睑提上睑肌腱膜推进的两点和三点缝合术的比较
Comparison of two- and three-point sutures for advancing the levator aponeurosis in Asian eyelids.
作者信息
Kim Y S, Yoon J S, Jang S Y
机构信息
Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
出版信息
Eye (Lond). 2015 Sep;29(9):1181-5. doi: 10.1038/eye.2015.107. Epub 2015 Jun 26.
PURPOSE
To compare the functional and cosmetic outcomes of two- and three-point sutures for advancing the levator aponeurosis in blepharoptosis surgery on Asians.
PATIENTS AND METHODS
This retrospective study examined 60 Asian patients with blepharoptosis who had undergone advancement of the levator aponeurosis: 34 patients (46 eyelids) had ptosis correction using the two-point suture technique and 26 patients (41 eyelids) had ptosis correction using the three-point suture technique. The postoperative marginal reflex distance (MRD1), lid height difference, and eyelid contour were evaluated.
RESULTS
Twenty-seven (79.4%) of the 34 patients in the two-point group and 19 (73.1%) of 26 patients in the three-point group had a postoperative MRD1 of 2-4 mm, lids within 0.5 mm of each other, and a satisfactory eyelid contour; this difference was not significant. The rate of reoperation did not differ significantly between the two groups.
CONCLUSION
Two- and three-point sutures for advancing the levator aponeurosis were equally effective for correcting blepharoptosis in Asians.
目的
比较两点缝合法和三点缝合法在亚洲人上睑下垂手术中提升提上睑肌腱膜的功能和美容效果。
患者与方法
这项回顾性研究检查了60例接受提上睑肌腱膜提升术的亚洲上睑下垂患者：34例患者（46只眼睑）采用两点缝合法矫正上睑下垂，26例患者（41只眼睑）采用三点缝合法矫正上睑下垂。评估术后边缘反射距离（MRD1）、睑裂高度差和眼睑轮廓。
结果
两点组34例患者中的27例（79.4%）和三点组26例患者中的19例（73.1%）术后MRD1为2 - 4 mm，眼睑相差在0.5 mm以内，眼睑轮廓满意；差异无统计学意义。两组再次手术率差异无统计学意义。
结论
两点缝合法和三点缝合法在提升提上睑肌腱膜矫正亚洲人上睑下垂方面同样有效。
Zotero 插件