目的探讨上眼睑松弛修复的有效手术治疗方法及临床疗效。方法 56例(88眼)上睑松弛的患者作为研究对象,对其手术治疗效果进行分析和探讨,手术方法包括传统去皮重睑术、眉上缘切口去皮提眉术、眉下缘切口去皮+眉脂肪垫等方式。结果 55例(86眼)患者术后的眉眼部皮肤松弛得到了明显改善,形成了满意的重睑形态。术后6~10 d恢复自然重睑,眼睑瘢痕不明显,无感染、出血等并发症。1例(2眼)患者术后效果欠佳,经二次手术后改善。术前有50例(89.3%)患者视力障碍,56例(100.0%)患者均眼睑下垂;术后有4例(7.1%)患者视力障碍,无眼睑下垂;患者术后的视力障碍、眼睑下垂占比低于术前,差异有统计学意义(P<0.05)。结论治疗上眼睑松弛的手术方法较多,均可显著改善疾病体征,在选择手术方式时应该根据患者的具体情况进行选择,以期获得满意的效果。 Objective To investigate the effective surgical treatment of upper eyelid laxity repair and its clinical efficacy. Methods Fifty-six patients (88 eyes) with upper blepharochalasis were selected as the study object. The surgical treatment was analyzed and discussed. The surgical methods included traditional tarsal double eyelid surgery, Peeled + brow fat pad and other means. Results In 55 cases (86 eyes), postoperative facial skin relaxation was significantly improved and a satisfactory double eyelid appearance was formed. 6 to 10 days after the recovery of natural double eyelid, eyelid scar is not obvious, no infection, bleeding and other complications. One patient (2 eyes) had a poor postoperative outcome and improved after second surgery. There were 50 cases (89.3%) of patients with visual impairment before operation and 56 cases (100.0%) of patients had ptosis before operation. Four cases (7.1%) had visual impairment after operation and no ptosis. The patients had postoperative visual impairment, ptosis The proportion was lower than preoperative, the difference was statistically significant (P <0.05). Conclusion The treatment of upper eyelid laxity more surgical methods, can significantly improve the signs of the disease, the choice of surgical approach should be based on the specific circumstances of patients to choose, in order to obtain satisfactory results.