PDF(Pubmed)
Abstract：
UNASSIGNED: Analysis of the value of expanded polytetrafluoroethylene (e-PTFE) frontalis suspension applied to children with congenital ptosis.
UNASSIGNED: Eighty clinical cases of children with congenital ptosis from October 2019 to October 2021 were randomly selected from our hospital. All children were divided into the observation group (n = 44) treated with e-PTFE frontalis suspension and the control group (n = 36) treated with frontalis flap suspension according to the treatment procedure. Comparison of eyelid condition [palpebral fissure height, margin reflex distance (MRD), eyelid closure time], ocular surface status [corneal fluorescein staining (CFS) score, tear film breakup time (TBUT), surgical eye lacrimal river height (LRH), sehirmer test I (STI)], frontal muscle strength of affected side, cosmetic results and complications in both groups at 1, 6 and 12 months postoperative follow-up.
UNASSIGNED: At 1, 6 and 12 months after surgery, there was no significant difference in terms of palpebral fissure height and MRD between both groups (p > 0.05); After surgery, the eyelid closure time was shorter in the observation group than in the control group (p < 0.05). At 1, 6 and 12 months after surgery, the CFS scores were lower in the observation group than in the control group (p < 0.05); At 6 and 12 months after surgery, the TBUT was longer and the surgical eye LRH was higher in the observation group than in the control group (p < 0.05); At 1, 6, and 12 months after surgery, there was no significant difference in STI between both groups (p < 0.05). At 1, 6 and 12 months after surgery, the frontal muscle strength of affected side was higher in the observation group than in the control group (p < 0.05). At 1, 6, and 12 months after surgery, there was no significant difference in cosmetic results between both groups (p > 0.05). The overall complication rate in the observation group (6.82%) was lower than that in the control group (25.00%) (p < 0.05).
UNASSIGNED: The surgical and cosmetic results of e-PTFE frontalis suspension and frontalis flap suspension applied to congenital ptosis are comparable, but the former has the advantage of faster postoperative recovery, better ocular surface status, less frontali muscle strength damage and fewer complications.
UNASSIGNED: Eighty clinical cases of children with congenital ptosis from October 2019 to October 2021 were randomly selected from our hospital. All children were divided into the observation group (n = 44) treated with e-PTFE frontalis suspension and the control group (n = 36) treated with frontalis flap suspension according to the treatment procedure. Comparison of eyelid condition [palpebral fissure height, margin reflex distance (MRD), eyelid closure time], ocular surface status [corneal fluorescein staining (CFS) score, tear film breakup time (TBUT), surgical eye lacrimal river height (LRH), sehirmer test I (STI)], frontal muscle strength of affected side, cosmetic results and complications in both groups at 1, 6 and 12 months postoperative follow-up.
UNASSIGNED: At 1, 6 and 12 months after surgery, there was no significant difference in terms of palpebral fissure height and MRD between both groups (p > 0.05); After surgery, the eyelid closure time was shorter in the observation group than in the control group (p < 0.05). At 1, 6 and 12 months after surgery, the CFS scores were lower in the observation group than in the control group (p < 0.05); At 6 and 12 months after surgery, the TBUT was longer and the surgical eye LRH was higher in the observation group than in the control group (p < 0.05); At 1, 6, and 12 months after surgery, there was no significant difference in STI between both groups (p < 0.05). At 1, 6 and 12 months after surgery, the frontal muscle strength of affected side was higher in the observation group than in the control group (p < 0.05). At 1, 6, and 12 months after surgery, there was no significant difference in cosmetic results between both groups (p > 0.05). The overall complication rate in the observation group (6.82%) was lower than that in the control group (25.00%) (p < 0.05).
UNASSIGNED: The surgical and cosmetic results of e-PTFE frontalis suspension and frontalis flap suspension applied to congenital ptosis are comparable, but the former has the advantage of faster postoperative recovery, better ocular surface status, less frontali muscle strength damage and fewer complications.
摘要：
■膨胀型聚四氟乙烯（e-PTFE）额骨悬吊术应用于先天性上下垂儿童的价值分析。
■随机选取我院2019年10月至2021年10月收治的先天性上睑下垂患儿80例。根据治疗方法分为观察组(n=44)采用e-PTFE额肌悬吊术治疗,对照组(n=36)采用额肌皮瓣悬吊术治疗。眼睑状况比较[睑裂高度，边缘反射距离(MRD),眼睑闭合时间]，眼表状态[角膜荧光素染色（CFS）评分，泪膜破裂时间（TBUT），手术眼泪道高度（LRH），sehirmertestI(STI)],患侧的额叶肌肉力量，两组在术后1、6和12个月随访时的美容效果和并发症。
■手术后1、6和12个月，两组患者的睑裂高度和MRD差异无统计学意义(p>0.05);观察组眼睑闭合时间短于对照组(p<0.05)。手术后1、6和12个月，观察组CFS评分低于对照组(p<0.05);术后6、12个月,观察组的TBUT较长,手术眼LRH高于对照组(p<0.05);术后1、6、12个月,两组之间的STI没有显着差异（p<0.05）。手术后1、6和12个月，观察组患侧额叶肌力高于对照组(p<0.05)。手术后1、6和12个月，两组的美容效果无显著差异(p>0.05)。观察组并发症总发生率(6.82%)低于对照组(25.00%)(p<0.05)。
■e-PTFE额肌悬吊和额肌皮瓣悬吊应用于先天性上睑下垂的手术和美容效果相当，但前者的优点是术后恢复快，更好的眼表状态，额骨肌力损伤少，并发症少。
■随机选取我院2019年10月至2021年10月收治的先天性上睑下垂患儿80例。根据治疗方法分为观察组(n=44)采用e-PTFE额肌悬吊术治疗,对照组(n=36)采用额肌皮瓣悬吊术治疗。眼睑状况比较[睑裂高度，边缘反射距离(MRD),眼睑闭合时间]，眼表状态[角膜荧光素染色（CFS）评分，泪膜破裂时间（TBUT），手术眼泪道高度（LRH），sehirmertestI(STI)],患侧的额叶肌肉力量，两组在术后1、6和12个月随访时的美容效果和并发症。
■手术后1、6和12个月，两组患者的睑裂高度和MRD差异无统计学意义(p>0.05);观察组眼睑闭合时间短于对照组(p<0.05)。手术后1、6和12个月，观察组CFS评分低于对照组(p<0.05);术后6、12个月,观察组的TBUT较长,手术眼LRH高于对照组(p<0.05);术后1、6、12个月,两组之间的STI没有显着差异（p<0.05）。手术后1、6和12个月，观察组患侧额叶肌力高于对照组(p<0.05)。手术后1、6和12个月，两组的美容效果无显著差异(p>0.05)。观察组并发症总发生率(6.82%)低于对照组(25.00%)(p<0.05)。
■e-PTFE额肌悬吊和额肌皮瓣悬吊应用于先天性上睑下垂的手术和美容效果相当，但前者的优点是术后恢复快，更好的眼表状态，额骨肌力损伤少，并发症少。
