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目的报告儿童先天性上睑下垂手术矫正的效果,并对其疗效进行评价。方法本组为学龄前儿童, 在全麻下手术,均采用提上睑肌缩短,前后路联合,以前路为主。结果术后双眼平视时眉弓基本对称,无提眉现象,视轴全暴露,单眼手术的儿童,睑裂开大时与对侧眼基本一致。结论学龄前儿童重度上睑下垂可以在全麻下用提上睑肌缩短的方法矫正。建议测量通过瞳孔中央垂直线上下睑缘间的距离,相关≤1～2mm 或双睑裂≥6mm 为成功指标,眉睑距亦可作为上睑下垂术后远期效果的判定标准。
Objective To report the effect of surgical correction of congenital blepharoptosis in children and to evaluate its efficacy. Methods This group of preschool children, under general anesthesia surgery, are using the levator muscle shortening, anteroposterior combination, the previous road-based. Results The eyebrow arch was basically symmetrical and no eyebrow eyebrow was observed in both eyes after operation. Children with full exposure of the visual axis and monocular surgery were basically the same when the blepharophimosis opened up. Conclusions Preschoolers with severe ptosis can be corrected under general anesthesia with levator tendon shortening. It is recommended to measure the distance between the upper and lower eyelid margins through the vertical center line of the pupil, the relative ≤1 ~ 2mm or double-fold ≥6mm as the successful index, the eyelid distance can also be used as a criterion for the long-term effect of ptosis.