两种术式矫治不同程度先天性上睑下垂的临床效果

目的:探讨两种术式矫治不同程度先天性上睑下垂的临床效果。方法:采用回顾性分析的方法对2001年8月～2011年8月采用提上睑肌缩短术和额肌瓣悬吊术这两种术式进行矫治的不同程度的先天性上睑下垂的患者98例126眼进行术后观察及手术拆线后4周进行随访。结果:轻度先天性上睑下垂患者进行提上睑肌缩短术临床疗效明显优于中度和重度先天性上睑下垂患者(P<0.05),而中度及重度先天性上睑下垂患者进行额肌瓣悬吊术临床疗效明显优于轻度和重度先天性上睑下垂患者(P<0.05)。结论:提上睑肌缩短术治疗轻度先天性上睑下垂患者,既能保持上睑功能又能达到美容的目的,适用于轻度先天性上睑下垂,而额肌瓣悬吊术直接以额肌为动力提起先天性上睑下垂患者的上睑可达到矫正上睑下垂的目的,适用于中、重度先天性上睑下垂。

Two different correction surgery for congenital blepharoptosis

Objective: To compare two correction surgery for congenital blepharoptosis.Methods:A total of 126 eyes of 98 patients with congenital blepharoptosis admitted from August 2001 to August 2011 were selected.They had levator palpebrae superioris muscle shortening and frontalis muscle suspension surgery and were followed up for 4 weeks.Results:Levator palpebrae superioris muscle shortening for mild congenital blepharoptosis patients was significantly more effective than it for moderate and severe congenital blepharoptosis patients(P< 0.05);while frontalis muscle suspension surgery was more effective for moderate and severe congenital blepharoptosis patients(P< 0.05).Conclusions:Levator palpebrae superioris muscle shortening can keep function of palpebra superior,and achieve cosmetic purpose,which is applicable to mild congenital blepharoptosis;frontalis muscle suspension surgery can shift palpebra superior,and can apply to moderate and severe congenital blepharoptosis.