目的:研究额肌腱膜瓣悬吊术治疗先天性重症上睑下垂的临床疗效及手术并发症。方法:对18例25眼施行了额肌腱膜瓣悬吊术的先天性重症上睑下垂患者进行回顾性分析。结果:随访3～12mo,18例25眼全部都获得矫治,手术3mo后矫正良好者76%(19/25),基本矫正者24%(6/25),无无效病例。手术并发症为不同程度的眼睑闭合不全,并于6mo内恢复正常。无严重的睑外翻、睑内翻、睑缘畸形和暴露性角膜炎等并发症。结论:额肌腱膜瓣悬吊术是治疗先天性重症上睑下垂患者的理想方法。

AIM:To investigate the clinical effect of suspension of frontal aponeurosis in patients with severe congenital blepharoptosis and surgical complication. METHODS:Eighteen patients (25 eyes)with severe congenital blepharoptosis were treated with suspension of frontal aponeurosis and the operative effect was analyzed retrospectively. RESULTS:The follow-up periods of the patients ranged from 3 months to 12 months. The blepharoptosis was corrected in all cases .At 3 months postoperative, the satisfactory rate was 76%(19/25 eyes),the basically satisfactory rate was 24%(6/25 eyes),no inefficient case .The complications were various degrees of lagophthalmus and recovered in 6 months. There were no severe complication such as ectropion, entropion,malformed upper lid margins,or exposure keratitis and so on. CONCLUSION:Suspension of frontal aponeurosis is an ideal method to treat severe congenital blepharoptosis in patients .

R779.6