上睑成形术治疗青年睑皮肤松弛症
作者：徐东强 周和政 王柏川。
【摘要】 目的：观察上睑成形术治疗青年睑皮肤松弛症的临床效果。方法：青年睑皮肤松弛症患者15例，均为双眼，女性，年龄17~28岁，5例合并泪腺脱垂，无其他异常；均行上睑成形术，术中切除多余的皮肤和眶脂，3例病例复位脱垂的泪腺。 结果：随访1wk至2a，所有病例外观均较术前有明显改善。1例泪腺脱垂患者在术后1.5a时发现泪腺脱垂稍微加重，该患者术中未予泪腺复位术，但其上睑重睑的形态保持完好。所有患者均无出血、感染、重睑形态差等并发症。结论：上睑成形术治疗青年睑皮肤松弛症可获得满意的美容效果。
Upper Lid Plasty For Young Blepharochalasis。
Abstract AIM: To observe the clinical effect of upper lid plasty for blepharochalasis in young people.Methods: Fifteen female young patients (30 eyes) of blepharochalasis were observed, ages ranged 17—28 years old, Including 5 cases with bilaterally prolapsed lacrimal gland.Upper lid plasty was done, during which the redundant skin and fat were removed and prolapsed lacrimal glands were repositioned in 3 cases. RESULTS: During the follow—up of 1 week to 2 years, all cases had obvious better appearance. One case with no lacrimal gland reposition in the procedure had worse prolapsed lacrimal gland 1.5 years postoperatively. CONCLUSION: The appearance effect of upper lid plasty on blepharochalasis is satisactory in young people.
· KEYWORDS: blepharochalasis, plasty。
0引言。
睑皮肤松弛症是一种临床并不罕见的疾病，多见于青年女性，因影响患者的外观，促使患者求诊。本文总结了我科2003/2006年期间的15例患者进行的上睑成形术，现报道如下。
1对象和方法。
1.1对象 睑皮肤松弛症患者15例，均为女性，年龄17~28(平均21.3)岁，均为双眼发病，病史约1～8a，均否认既往外伤、过敏性皮炎、遗传及家族病史等。专科体检为：双眼上睑隆起，似“肿眼泡” ，12例患者的上睑皮肤充血，菲薄；均无重睑形态，或为隐性重睑；5例合并轻度泪腺脱垂；均无睑下垂，无斜视；视力均正常，前后节检查无异常。术前检查如：血常规、尿常规、心电图均正常。