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目的 观察应用提上睑肌缩短联合上横韧带加强术治疗复发性上睑下垂的效果。方法 依据上睑下垂的程度和肌力 ,确定提上睑肌缩短量 ;将提上睑肌缩短与上横韧带一并作双套环缝线 ,缝合固定在睑板上缘。结果 本文 1 9例 2 1眼 ,平均随访 1 3 5个月。术后睑裂高度 7～ 9mm者 1 9眼 ,6～ 7mm者 2眼 ,双眼睑裂对称 ,重睑弧度自然 ,无睑裂闭合不全和暴露性角膜炎等并发症发生。结论 应用提上睑肌缩短联合上横韧带加强术治疗复发性上睑下垂 ,是一种有效的手术方法
Objective To observe the application of levator muscle shortening combined with transverse ligament strengthening surgery for the treatment of recurrent ptosis. Methods According to the degree of ptosis and muscle strength, to determine the amount of levator muscle shortening; the mention levator muscle shortening and the transverse transverse ligament together as a double loop suture, suture fixed in the upper edge of the tarsus. Results In this paper, 29 cases of 21 eyes, with an average follow-up of 1 35 months. Postoperative palpebral fissure height of 7 ~ 9mm, 19 eyes, 6 ~ 7mm in 2 eyes, bilateral palpebral fissure symmetry, double eyelid curvature of the natural, without palpebral fissure insufficiency and exposure to keratitis and other complications. Conclusion The application of levator muscle shortening combined with transverse ligament strengthening surgery for the treatment of recurrent ptosis is an effective surgical method