方法：回顾性分析我院2008-01/2011-12间225例298眼已施行上睑下垂手术的患者，按照不同的手术方式分为两组：借用额肌力量的手术和提上睑肌复合体的手术。对患者行3～6mo的术后随访观察，进行疗效评价与分析。

结果：全部患者分成两组，借用额肌力量的手术患者38例44眼，其中2眼过矫，1眼复发，治愈率93.2%； 提上睑肌复合体的手术患者187例254眼，其中4眼过矫，2眼欠矫，治愈率97.6%，明显高于借用额肌力量手术组。2例2眼上睑下垂手术后短期欠矫患者，重新打开切口上调提上睑肌固定位置； 1例1眼上睑下垂6mo后复发，再次手术发现缝线脱落给予修复； 4例6眼过矫给予松解额肌或提上睑肌调整睑缘位置，均改善了上睑下垂症状和达到了容貌改观。

结论：先天性上睑下垂原则上应及早矫治，早手术可防止儿童弱视和心理障碍。后天性上睑下垂病因多样，应根据不同病因进行治疗，待病情稳定3～6mo后根据受术者的病情程度选择不同的上睑下垂矫正术，以提高疗效，并减少并发症。

METHODS:A retrospective analysis of 225 cases 298 eyes performed ptosis operation in our hospital from January 2008-December 2011. According to the different operation modes patients were divided into two groups: borrow frontalis muscle power operation, as well as the levator palpebrae superioris complex operation. Patients were performed 3-6 months' follow-up observation, evaluation and analysis. The effects of two groups were compared.

RESULTS: All of the patients divided into two groups, borrowed from the frontal muscle power operation in 38 cases 44 eyes,2 eyes overcorrection, 1 case of recurrence, the cure rate was 93.2%; levator palpebrae superioris complex operation in 187 cases 254 eyes,6 eyes and 2 eyes overcorrection, undercorrection, the cure rate was 97.6%, significantly higher than the amount of muscle strength in use operation group 2 cases 2 eyes with ptosis after operation of short-term undercorrection, reopened incision and upregulated the levator palpebrae superioris muscle fixed position; 1 case 1 eye recurred after half year, the re-operation found suture exfoliated then repaired; 4 cases 6 eyes of overcorrection released upper eyelid muscle to adjust the margin position. All surgeries have improved the blepharoptosis symptoms and reached the appearance change.

CONCLUSION:Congenital ptosis in principle should be treated early, earlier operation can prevent children from amblyopia and mental disorders. Acquired ptosis due to a variety of causes, which should be treated according to the different causes first, then in stable condition 3-6 months after choose different operation methods. Correction of ptosis based on the severity, select the appropriate operation, improve the curative effect to reduce complications.