额肌悬吊术和提上睑肌-额肌吻合术治疗重度先天性上睑下垂

目的 比较额肌瓣悬吊术和提上睑肌腱膜-额肌瓣吻合术治疗重度先天性上睑下垂的疗效.方法 分析分别采用用额肌瓣悬吊术、提上睑肌腱膜-额肌瓣吻合术治疗重度先天性上睑下垂98例133只眼,比较两组手术的疗效.结果 额肌瓣悬吊术组和提上睑肌腱膜-额肌瓣吻合术组矫正上睑下垂的疗效差异无统计学意义(P＞0.05).但前者术后有5例睑缘弧度不自然(6.9%),后者术后睑缘弧度均较自然.结论 额肌瓣悬吊术和提上睑肌腱膜-额肌瓣吻合术都能有效治疗重度先天性上睑下垂,但后者较符合眼睑生理解剖,术后睑缘弧度更自然.

Frontalis flap ventrofixation and levator palpebrae superior musculoaponeurotic flapfrontalls anastomosis on severe congenital ptosis.

Aim To investigate the efficiency of frontalis flap ventrofixafion and levator palpebrae superior musculoaponeuroticflap-frontalis anastomosis to treat severe congenital ptosis,Methods 98 cases (133eyes)of severe congenital ptosis were treated with frontalis flap ventrofixafion or levator palpebrae superior musculoaponeuroticfiap-frontalis anastomosis,and analyzed the efficiency.Results It was no difference in the efficiency of frontalis vontrofixation auld levator palpebrae superior musculoaponeuroticfiap-frontalis anastomosis(P＞0.05).However,the former appeared abnormal of the rarlian in limbus palpebralis in 5 eyes(6.9%).The latter didn't happened.Conclusions There are good operations to treart severe congenital ptosis with both frontalis flap ventrofixation and levator palpebme superior musculoaponeuroticflap-frontalis anastomosis.And the latter is more nature of the radian in limbm palpebralis.