改良额肌悬吊术治疗儿童先天性上睑下垂的临床效果

目的 评估膨体聚四氟乙烯材料（e-PTFE）改良额肌悬吊术治疗低龄儿童先天性上睑下垂的临 床效果。方法 选取2019年1月-2022年6月于我院眼科行e-PTFE改良额肌悬吊术矫正先天性上睑下垂的患儿 42例（52眼）为研究对象。术后1、3、6个月对42例患儿进行随访，比较手术前后术眼上睑至瞳孔反射距离 （MRD）、睑裂高度、眼睑闭合时间、美容效果及并发症发生情况。结果 患儿术后1、3、6个月MRD和睑 裂高度均较术前有所提高，差异有统计学意义（P＜0.05）；平均眼睑闭合时间为（2.36±0.88）个月；术后 1、3、6个月美容效果评分分别为（8.12±0.52）分、（7.78±0.60）分、（7.65±0.42）分，随着时间的延长 评分虽略有下降，但差异无统计学意义（F=1.675，P＞0.05）；并发症总发生率为3.84%。结论 e-PTFE改 良额肌悬吊术联合个体化重睑成形术治疗低龄儿童先天性上睑下垂眼睑形态美观，效果良好。

Clinical Effect of Modified Frontal Muscle Suspension in the Treatment of Congenital Blepharoptosis in Children

Objective To evaluate the clinical efficacy of modified frontalis muscle suspension with polytetrafluoroethylene material (e-PTFE) in the treatment of congenital blepharoptosis in young children. Methods From January 2019 to June 2022, 42 children (52 eyes) with congenital ptosis who underwent e-PTFE modified frontal muscle suspension in our hospital were selected as the research objects. Forty-two patients were followed up at 1, 3 and 6 months after operation. The upper eyelid-to-pupil margin reflex distance (MRD), palpebral fissure height, eyelid closure time, cosmetic effect and complications were compared before and after operation. Results The MRD and palpebral fissure height at 1, 3 and 6 months after operation were higher than those before, THE difference was statistically significant (P<0.05). The average eyelid closure time was (2.36±0.88) months. The cosmetic effect scores at 1, 3 and 6 months after operation were (8.12±0.52) scores, (7.78±0.60) scores and (7.65±0.42) scores, respectively; with the prolongation of time, the score decreased slightly, but the difference was not statistically significant (F=1.675, P>0.05). The total incidence of complications was 3.84%. Conclusion e-PTFE modified frontalis muscle suspension combined with individualized double eyelid plasty for the treatment of congenital blepharoptosis in young children has good results.