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目的探讨额肌瓣悬吊术治疗儿童先天性上睑下垂的适宜年龄。方法对51例(57眼)先天性上睑下垂额肌瓣悬吊术的临床资料进行分析。结果1～3岁20例(21眼),20眼矫正良好,1眼基本矫正:4～6岁21例(24眼),22眼矫正良好,2眼基本矫正;7～12岁10例(12眼),11眼矫正良好,1眼基本矫正。均无并发症发生。结论重度先天性上睑下垂,只要全身状况良好,1岁以上即可手术。中度者学龄前手术适宜。轻度者可在12岁以上局麻下手术。
Objective To explore the appropriate age of frontal muscle flap suspension for congenital ptosis in children. Methods The clinical data of 51 cases (57 eyes) of congenital blepharoptosis myocutaneous suspension were analyzed. Results Twenty eyes (21 eyes) were aged from 1 to 3 years, and 20 eyes were corrected well. One patient had basic correction: 21 cases (24 eyes) aged from 4 to 6 years, 22 eyes were well corrected, 2 eyes basically corrected, 12 eyes), 11 eyes were corrected well, and 1 eye was basically corrected. No complications occurred. Conclusions Severe congenital ptosis, as long as the general condition is good, 1 year old can be operated on. Moderate pre-school surgery appropriate. Mild who can be operated under local anesthesia over the age of 12.