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目的 探讨改良的提上睑肌缩短术治疗上睑下垂的临床疗效。方法 选择29例(35眼)上睑下垂患者,采用提上睑肌折叠联合额肌吻合术。结果 30眼上睑下垂术後早期平视时上睑缘遮盖上方角膜1～2mm者25眼,睑裂为6～9mm为32眼(91.8％),术後平均随访10(6～18)月,上睑缘位置轻度回退,最大回退量不超过2mm,上睑弧度及双重睑形成良好,睡眠时眼睑闭合良好,瞬目运动较自然。结论 该术式在改善提睑功能和增强美容效果两方面对矫正上睑下垂有良好的长期效果。
Objective To investigate the clinical effect of improved levator palpebrae superioris ptosis. Methods Twenty-nine patients (35 eyes) with ptosis were treated with levator muscle fold and frontalis anastomosis. Results Twenty - five eyes (1 ~ 2 mm) covered the upper eyelid and 30 eyes (91.8%) had palpebral fissure 6 ~ 9 mm. The mean follow - up was 10 (6-18) months, On the eyelid margin slight regression, the maximum amount of regression does not exceed 2mm, upper eyelid curvature and double eyelid formation is good, good eyelid closure during sleep, blinking movement more natural. Conclusion The procedure has good long-term effect on correction of blepharoptosis both in terms of improving the function of the eyelid and enhancing the cosmetic effect.