上睑退缩修复：可调节缝线与不可调节缝线的比较
Repair of upper eyelid retraction: a comparison between adjustable and non-adjustable sutures.
作者信息
Tucker S M, Collin R
机构信息
Department of Oculoplastic and Reconstructive Surgery, Moorfields Eye Hospital, London.
出版信息
Br J Ophthalmol. 1995 Jul;79(7):658-60. doi: 10.1136/bjo.79.7.658.
BACKGROUND
The challenge with the surgical repair of upper eyelid retraction is to obtain a more predictable and satisfactory postoperative eyelid contour and height, and to minimise the need for further surgery.
METHODS
A retrospective analysis was performed on all patients treated surgically for eyelid retraction at Moorfields Eye Hospital over a 13 year period.
RESULTS
In this study good postoperative results were obtained in 10 of 13 (77%) eyelids using adjustable sutures, compared with 56 of 148 (38%) eyelids using non-adjustable sutures (p < 0.01). With non-adjustable sutures, good results were achieved more often for non-thyroid compared with thyroid related eyelid retraction (26/55 versus 31/93 eyelids respectively, p < 0.05). Previous eyelid surgery did not affect outcome.
CONCLUSION
We recommend the use of adjustable sutures for the repair of upper eyelid retraction, particularly in patients with thyroid disease.
背景
上睑退缩手术修复面临的挑战在于获得更可预测且令人满意的术后眼睑轮廓和高度，并尽量减少进一步手术的需求。
方法
对 Moorfields 眼科医院 13 年间接受眼睑退缩手术治疗的所有患者进行回顾性分析。
结果
在本研究中，使用可调节缝线的 13 只眼睑中有 10 只（77%）术后效果良好，而使用不可调节缝线的 148 只眼睑中有 56 只（38%）术后效果良好（p < 0.01）。对于不可调节缝线，非甲状腺相关眼睑退缩比甲状腺相关眼睑退缩更常获得良好效果（分别为 26/55 与 31/93 只眼睑，p < 0.05）。既往眼睑手术不影响手术结果。
结论
我们建议使用可调节缝线修复上睑退缩，尤其是甲状腺疾病患者。
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