目的:探讨提上睑肌缩短术、额肌瓣悬吊术、阔筋膜悬吊术治疗重度先天性上睑下垂的效果。方法:手术治疗重度先天性上睑下垂患者42例47眼,其中提上睑肌缩短术25例28眼、额肌瓣悬吊术10例12眼、阔筋膜悬吊术7例7眼,比较手术效果,上睑弧度、双重睑成形情况及手术并发症情况。结果:采用提上睑肌缩短术者,术后外观自然美观,兔眼恢复时间短,效果满意;采用额肌瓣悬吊术者术后外形欠自然、兔眼恢复时间长;采用阔筋膜悬吊术者,上睑迟滞和眼睑闭合不全较明显,易发生矫正不足。结论:三种手术方式均能有效治疗先天性上睑下垂。提上睑肌缩短术更符合生理状态,手术效果最好且并发症少。

AIM:To investigate the superiority and disadvantage of three operations for severe congenital blepharoptosis.METHODS:Forty-two severe congenital ptosis cases 47 eyes undergoing therapy were divided into three groups.25 cases 28 eyes were treated by shortening levator muscle of upper eyelid,10 cases 12 eyes by frontalis muscle flap suspension operation,and 7 cases 7 eyes by frontal muscle suspension using fascia lata.The clinical data were recorded and analyzed,and the effect was evaluated.RESULTS:The cases which were conducted shortening levator muscle of upper eyelid had natural appearance and satisfactory results.And the others had obvious dermatolysis of upper eyelid,blepharal dysraphism and insufficient correction.CONCLUSION:Shortening levator muscle of upper eyelid is more suitable for physiology status and has the best effects and fewer complications.

R779.6