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目的研究儿童先天性重度上睑下垂的手术时机及不同术式的矫正效果。方法对68例(82只眼)3～12岁重度儿童先天性上睑下垂患者随机分为3组,分别采用改良提上睑肌缩短术、改良额肌瓣悬吊术和阔筋膜悬吊术,术后均随访3个月～3年,平均6个月。结果采用提上睑肌缩短术和改良额肌瓣悬吊术者,术后外观自然美观,效果满意;采用阔筋膜悬吊术者,上睑迟滞和眼睑闭合不全较明显,还较易发生矫正不足。结论改良提上睑肌缩短术及改良额肌瓣悬吊术是治疗儿童先天性重度上睑下垂的首选方法 。
Objective To study the timing of operation and correction of different surgical procedures in children with congenital severe ptosis. Methods Sixty-eight patients (82 eyes) with congenital ptosis of severe children aged 3 to 12 years were randomly divided into 3 groups. They were treated with modified levator ani shortening, modified frontal muscle flap suspension, and fascia lata Surgery, postoperative were followed up for 3 months to 3 years, an average of 6 months. Results With the levator muscle shortening and the improvement of the amount of muscle flap suspension, postoperative appearance of natural beauty, the effect is satisfactory; using lacrimal fascia suspension, upper limbal lag and eyelid closure is obvious, but also more prone to Correction is not enough. Conclusion The improved levator palpebraectomy and the improved frontal muscle flap suspension are the preferred methods for the treatment of congenital severe ptosis in children.