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目的 探讨改进额肌瓣悬吊法治疗上睑下垂的手术效果。方法 采用眉下切口及半弧形额肌瓣以减少额肌挫伤及供应额肌的血管神经的损伤 ,增强额肌肌力。结果 临床应用 6 2例 ,10 2侧上睑下垂 ,经随访 3～ 5 0个月 ,除 2例单侧上睑下垂因额肌瓣游离不够充分致悬吊过度外 ,余均取得满意效果。结论 半弧形额肌瓣悬吊法治疗上睑下垂效果满意 ,眉下切口直视下操作 ,损伤小 ,遗留瘢痕不明显 ,且对初学者有其独特优势。
Objective To explore the effect of improving frontal muscle flap suspension for the treatment of blepharoptosis. Methods Under the eyebrow incision and the semi-curved frontal muscle flap to reduce the amount of frontal muscle contusion and supply the amount of muscle and nerve damage, increase frontal muscle strength. Results Clinical application of 62 cases, 102 side of the ptosis, after a follow-up of 3 to 50 months, except for 2 cases of unilateral ptosis due to lack of adequate muscle flap caused by excessive suspension, I have achieved satisfactory results. Conclusion Hallux frontal muscle flap suspension method is effective in treating blepharoptosis. Under eyebrow incision, it has less damage and less scarring, and has unique advantages for beginners.