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目的探讨后天性上睑下垂的手术治疗方法和效果。方法对100眼后天性上睑下垂的手术治疗进行了回顾性总结。结果弗-盖氏术、Whitnall韧带悬吊术和提上睑肌腱膜瓣-额肌吻合术治疗神经源性和肌源性上睑下垂的手术成功率分别为41.6%、80%和90%。提上睑肌/腱膜修补术治疗外伤性和老年性上睑下垂的手术成功率分别为94.7%和100%。改良Hotz术治疗机械性上睑下垂的手术成功率为93.3%。结论根据上睑下垂的种类和程度选择适宜的手术方法和完善手术技巧是提高手术成功率的关键。
Objective To investigate the surgical treatment of acquired ptosis and its effect. Methods A retrospective review was made on the surgical treatment of postoperative ptosis after 100 eyes. Results The success rates of F- Galectomy, Whitnall Ligament Suspension and Levator aponeurosis-frontal muscle anastomosis in the treatment of neurogenic and myogenic ptosis were 41.6%, 80% and 90%, respectively. The success rate of the levator / aponeurosis repair for traumatic and senile blepharoptosis was 94.7% and 100%, respectively. The surgical success rate of modified Hotz operation for mechanical blepharoptosis was 93.3%. Conclusion According to the type and extent of ptosis, selecting appropriate surgical methods and improving surgical skills are the keys to improve the success rate of surgery.