目的：观察上睑下垂额肌瓣悬吊术后重度欠矫的患者再修复的治疗效果。

方法：将上睑下垂额肌瓣悬吊术后重度欠矫患者46例67眼随机分为两组：A组23例33眼采用联合筋膜鞘(conjoint fascial sheath，CFS)悬吊术进行修复； B组23例34眼采用Whitnall韧带悬吊术进行修复，术后随访6mo，通过统计分析，比较两种术式的矫正有效率、复发率及术后不良反应。

结果： 我院采取该两种术式对上睑下垂额肌瓣悬吊术后重度欠矫患者均有较高的矫正有效率，但两种术式矫正有效率的差异不具有统计学意义(P>0.05)； Whitnall韧带悬吊术修复的患者复发率小于CFS悬吊术，但差异不具有统计学意义(P>0.05)； CFS 悬吊术后眼睑闭合不全发生率小于Whitnall韧带悬吊术，差异有统计学意义(P<0.05)。

结论： CFS 悬吊术及Whitnall韧带悬吊术对于额肌瓣悬吊术后重度欠矫的上睑下垂患者均有较高的矫正有效率和较低的复发率，Whitnall韧带悬吊术具有损伤小、易操作等优点，而CFS 悬吊术具有可重复性强、眼睑闭合不全发生率低等优点。

METHODS: Totally 46 patients(67 eyes)were randomly divided into 2 groups: 23 cases(33 eyes)in Group A were given conjoint fascial sheath(CFS)suspension surgery; 23 cases(34 eyes)in Group B Whitnall ligament suspension. Postoperative follow-up was 6mo. Corrected rate, recurrence rate and postoperative adverse reactions were compared and analyzed.

RESULTS:The corrected rates of the two groups were both satisfied without significant difference between the two groups(P>0.05). the Whitnall ligament suspension surgery had less recurrence than CFS suspension surgery, but the difference was not statistically significant(P>0.05). The rate of hypophasis after CFS suspension surgery was significantly less than that after Whitnall ligament suspension(P<0.05).

CONCLUSION: The two operations both have satisfied corrected rate and low recurrence rate, the Whitnall ligament suspension surgery is less damaging and more easy to operate, while CFS suspension surgery is repeatable and less rate of hypophasis.