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目的探讨改良额肌筋膜瓣悬吊术矫治重度上睑下垂的临床疗效。设计回顾性病例系列。研究对象56例(101眼)重度上睑下垂患者。方法采用改良额肌筋膜瓣悬吊术,即单一重睑切口,先行分离额肌筋膜瓣后间隙,在直视下分离额肌筋膜瓣前间隙,不剪断额肌筋膜瓣内外角的方法进行矫治。主要指标术后第一眼位上睑睑缘位置变化。结果随访观察8～20个月,平均13.6个月。所有患者均获得满意疗效,术后反应较轻。术后并发症包括欠矫6例(10眼),过矫3例(6眼),内翻倒睫2例(2眼)。结论改良额肌瓣悬吊术治疗重度上睑下垂疗效满意,安全可靠。
Objective To investigate the clinical efficacy of modified myofascial flap suspension in the treatment of severe blepharoptosis. Design retrospective case series. The study included 56 patients (101 eyes) with severe blepharoptosis. Methods The modified myofascial flap suspension, ie single eyelid incision, was used to separate the posterior frontalis muscle fascia flap and to separate the anterior and posterior forebrain of the frontal fascia flap under direct vision. The method of correction. The main index postoperative first eye position eyelid margin changes. The results were followed up for 8 to 20 months, an average of 13.6 months. All patients were satisfied with the efficacy of postoperative response to light. Postoperative complications included 6 cases (10 eyes) of undercorrection, 3 cases of overcorrection (6 eyes) and 2 cases of inverted trichiasis (2 eyes). Conclusion The modified amount of muscle flap suspension for the treatment of severe ptosis is satisfactory, safe and reliable.