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目的探讨改良额肌腱膜瓣悬吊术治疗儿童先天性上睑下垂的疗效和手术时机的选择。方法回顾总结我院2007年4月至2010年5月采用改良额肌腱膜瓣悬吊术治疗的218例(259眼)先天性上睑下垂患儿,其中男113例;女105例,双眼41例,单眼177例,年龄16月~15岁,重度上睑下垂59例,中度上睑下垂136例,轻度23例。术后经3月~3年的随访观察。结果矫正满意者197例,欠矫21例,1例过矫,术后早期多有闭合不全,3月后逐渐消失,无一例倒睫,无一例出现暴露性角膜炎。结论改良额肌腱膜瓣悬吊术治疗儿童先天性上睑下垂疗效肯定,手术操作简单,不损伤额部血管神经,术中出血少,术后反应轻,恢复快,是治疗儿童先天性上睑下垂的首先方法,为避免术后欠矫,手术年龄选择在3岁后为宜。
Objective To investigate the curative effect and timing of surgical treatment of children with congenital blepharoptosis through modified tendon membrane flap suspension. Methods From April 2007 to May 2010, 218 children (259 eyes) with congenital blepharoptosis who underwent modified tendon membrane flap suspension were retrospectively reviewed, including 113 males and 105 females with eyes 41 For example, 177 cases of monocular, aged 16 months to 15 years old, severe ptosis in 59 cases, moderate ptosis in 136 cases, mild in 23 cases. Follow-up after 3 months to 3 years after operation. The results were satisfactory in 197 cases, 21 cases due to undercorrection, 1 case of overcorrection, early postoperative multiple partial closure, disappeared after 3 months, without trichiasis, no case of exposure to keratitis. Conclusion The modified amount of tendon membrane flap for the treatment of congenital ptosis in children with certainty, the operation is simple, does not damage the frontal vessel nerves, less bleeding, postoperative reaction, fast recovery, is the treatment of children with congenital eyelid The first method of sagging, in order to avoid postoperative correction, the age of surgery in 3 years after the appropriate choice.