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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---表目錄表1檢索詞及檢索結(jié)果????????????????????????4表2上瞼下垂手術(shù)方法檢索分類結(jié)果統(tǒng)計??????????????????6表3瞼板結(jié)膜切除術(shù)(Fasanella-Servat術(shù))相關(guān)文獻數(shù)據(jù)???
6、????????7表4Muller肌切除術(shù)相關(guān)文獻數(shù)據(jù)???????????????????7表5上瞼提肌折疊術(shù)相關(guān)文獻數(shù)據(jù)????????????????????8表6上瞼提肌縮短術(shù)相關(guān)文獻數(shù)據(jù)????????????????????8表7額?。ń钅ぃ┌陸业跣g(shù)相關(guān)文獻數(shù)據(jù)?????????????????9表8額肌間接懸吊術(shù)相關(guān)文獻數(shù)據(jù)???????????????????11表9眼輪匝肌-額肌懸吊術(shù)相關(guān)文獻數(shù)據(jù)?????????????????14表10額肌-SMAS懸吊術(shù)相關(guān)文獻數(shù)據(jù)???????????????????15表11上瞼提肌-額肌懸吊術(shù)相關(guān)文獻數(shù)據(jù)???????????
7、????????15表12額肌-眶隔筋膜瓣懸吊術(shù)相關(guān)文獻數(shù)據(jù)?????????????????16表13Whitnall韌帶懸吊術(shù)相關(guān)文獻數(shù)據(jù)???????????????????16表14各種懸吊材料的并發(fā)癥發(fā)生率?????????????????????22XII---圖目錄圖1上瞼下垂各類手術(shù)文獻總的分布情況??????????????????17圖2國內(nèi)上瞼下垂各類手術(shù)文獻的分布情況???????????????