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目的观察硅胶环扎带悬吊术在先天性重度上睑下垂术中的远期治疗效果。方法应用环扎带额肌悬吊术治疗先天性重度上睑下垂患儿23眼。随访6月~3年,平均1.9年。观察术后上睑下垂的矫正效果及并发症情况,并与在我院行额肌筋膜瓣悬吊术的病例对比分析。结果环扎带悬吊术23眼,满意17眼(73.9%);额肌筋膜瓣悬吊术18眼,满意15眼(83.3%),二者之间满意率差异无统计学意义(χ2=0.1308,P>0.05)。结论环扎带悬吊术治疗先天性上睑下垂的手术简易,取材方便,术后并发症少,远期效果肯定,值得推广。
Objective To observe the long-term therapeutic effect of silicone ring suspension in congenital severe ptosis. Methods Twenty - three eyes of congenital severe blepharoptosis were treated with the cerclage frontalis suspension. Follow-up 6 months to 3 years, an average of 1.9 years. To observe the effect of postoperative ptosis correction and complications, and in my hospital amount of myofascial flap suspension comparative analysis of cases. Results There were 23 eyes (73.9%) with loop cable suspension and 17 eyes (73.9%) satisfactorily. There were 18 eyes with frontal fascia flap suspension and 15 eyes (83.3%) satisfied with no significant difference in satisfaction rate (χ2 = 0.1308, P> 0.05). Conclusion Cerclage suspension for the treatment of congenital blepharoptosis is simple, easy to draw, less postoperative complications, long-term effect is sure, it is worth promoting.