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目的:观察两种术式治疗重度先天性上睑下垂的效果。方法:对64例(81眼)重度先天性上睑下垂行手术治疗,其中改良额肌瓣悬吊术30例(34眼),提上睑肌腱膜瓣-额肌吻合术34例(44眼)。结果:术后随访6个月以上,提上睑肌腱膜瓣-额肌吻合术正矫成功率95%,无欠矫及过矫,改良额肌瓣悬吊术正矫成功率75.7%,5例欠矫。结论:治疗重度先天性上睑下垂首选提上睑肌腱膜瓣-额肌吻合术。
Objective: To observe the effect of two kinds of operation on severe congenital blepharoptosis. Methods: Sixty-four patients (81 eyes) with severe congenital blepharoptosis underwent surgery, including 30 cases (34 eyes) with modified frontal muscle flap suspension and 34 cases (44 eyes) with levator aponeurosis flap frontal muscle anastomosis ). Results: All cases were followed up for more than 6 months. The levator ani flap anastomosis positive correction rate was 95%, no undercorrection and overcorrection, and 75.7% Cases of less correction. Conclusion: The treatment of severe congenital blepharoptosis preferred levator aponeurosis - frontal muscle anastomosis.