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先天性上睑下垂是一种常见的眼部疾患,其治疗方法很多,常用有3类:提上睑肌松解缩短术、额肌瓣悬吊术、额肌筋膜瓣悬吊术,我们用上述3种不同方法治疗78例(共102只眼),体会到术前难以对提上睑肌功能准确判断,只有在术中才可区别轻、中、重3度,来选择进一步的手术方式,可获得满意的外形及动态疗效.1 资料与方法1.1 临床资料 本组共78例,男27例,女51例,年龄7~43岁,双侧下垂24例,单例下垂54例,共102只眼,其中提上睑肌松解缩短术33例,额肌瓣悬吊术36例,额肌筋膜瓣悬吊术9例,均获满意效果,无任何并发症.
Congenital blepharoptosis is a common eye disease, its treatment is many, commonly used in three categories: lift the levator muscle shortening surgery, frontal muscle flap suspension, frontal myofascial flap suspension, we With the above three different methods of treatment of 78 cases (102 eyes), I realized that preoperative levator palpebrae muscle function is difficult to accurately determine, only in surgery can distinguish between light, moderate and severe 3 degrees to choose further surgery Way, can obtain a satisfactory shape and dynamic effect .1 data and methods 1.1 clinical data of this group a total of 78 cases, 27 males and 51 females, aged 7 to 43 years old, bilateral ptosis in 24 cases, a single case drooping in 54 cases, A total of 102 eyes, including levator muscle lift shortening in 33 cases, frontal muscle flap suspension in 36 cases, frontal muscle fascia flap suspension in 9 cases, were satisfactory results, without any complications.