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Clinical efficacy of conjoint fascial sheath suspension and frontalis muscle suspension in treating moderate or severe congenital ptosis and the effects on ocular surface and refractive status

机译:联合鉴状鞘悬浮液和前肌悬浮液治疗中度或严重先天性皮瓣的临床疗效及对眼表面和折射状况的影响

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摘要

Clinical efficacy of conjoint fascial sheath suspension and frontalis muscle suspension was explored in treating moderate or severe congenital ptosis and their effects on ocular surface and refractive status. A total of 75 patients with moderate or severe ptosis (108 eyes) treated in Yidu Central hospital from June 2014 to June 2019 were enrolled in this study, and divided into group A and group B. Group A was treated with conjoint fascial sheath suspension (n=38, 55 eyes), while group B was treated with frontalis muscle suspension (n=37, 53 eyes). The following data of the two groups were compared: General baseline data, total correction efficiency, satisfaction, and ocular surface after surgery, refractive status, and complications at three months after surgery. The two groups showed no significant difference in general data (P>0.05), but group A showed higher total correction efficiency and satisfaction, and less complications than those in group B (all P<0.05). In addition, the two groups had no difference in terms of ocular surface, tear break-up time, or Schirmer test level after surgery (all P>0.05), and showed no refraction changes after surgery (P>0.05). In terms of refractive status and ocular surface, the two surgery methods are not very different, but in terms of efficacy, conjoint fascial sheath suspension is more advantageous than frontalis muscle suspension, and it brings less complications, and enjoys a higher satisfaction, so it is worthy of promotion.
机译:在治疗中度或严重的先天性皮下和它们对眼表面和折射状态的影响时,探讨了联合鉴定鞘悬浮液和前肌悬浮液的临床疗效。在2014年6月至2019年6月在2019年6月至2019年6月在宜都中央医院治疗的75例中度或严重的皮下脑病(108只眼),并分为A组和B组。A组被联合迷恋护套悬浮液( n = 38,55只眼),虽然B组被骨折肌悬浮液(n = 37,53只眼)处理。比较了两组的以下数据:手术,折射状态和手术后三个月后的普通基线数据,总校正效率,满意度和眼表面。这两组显示一般数据没有显着差异(P> 0.05),但A组显示出较高的总校正效率和满意度,而不是B组(所有P <0.05)的并发症。此外,两组在手术后的眼表面,撕裂时间或Schirmer测试水平方面没有差异(所有p> 0.05),并且手术后没有显示折射率(p> 0.05)。就折射状态和眼表面而言,两种手术方法不是很差异,而是在功效方面,与骨头肌悬浮液更有利,它带来较少的并发症,并享有更高的满足感值得推广。

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