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目的比较L形与矩形额肌瓣悬吊术式治疗重度上睑下垂的临床效果。方法 104眼采用L形额肌瓣悬吊术,87眼采用矩形额肌瓣悬吊术。结果 191眼术后随访6个月~1年,L形额肌瓣治疗重度上睑下垂的手术时间、出血量及并发症均少于矩形额肌瓣悬吊术。结论 L形额肌瓣悬吊术治疗先天性重度上睑下垂效果优于矩形额肌瓣悬吊术。
Objective To compare the clinical effects of L-shaped and rectangular frontal muscle flap suspension for the treatment of severe blepharoptosis. Methods 104 eyes underwent L-shaped frontal muscle flap suspension and 87 eyes underwent rectangular frontal muscle flap suspension. Results 191 eyes were followed up for 6 months to 1 year. The operation time, bleeding volume and complication of L-shaped frontal muscle flap in treating severe ptosis were less than those in rectangular frontal muscle flap suspension. Conclusion L-shaped forehead muscle suspension for the treatment of congenital severe ptosis is superior to the rectangle frontal muscle flap suspension.