额肌瓣与提上睑肌腱膜瓣吻合矫正重度上睑下垂

Frontalis connected with palpebrae superior aponeurosis flap to correct severe ptosis

目的:探讨额肌瓣和提上睑肌腱膜瓣吻合术矫正重度上睑下垂的疗效。方法:对36例(43眼)重度先天性上睑下垂患者行额肌瓣和提上睑肌腱膜瓣吻合矫正术,术后随防3个月～2年,平均13个月。结果:矫正良好31例,矫正尚可5例,无矫正不良者。结论:额肌瓣与提上睑肌腱膜瓣吻合术矫正重症上睑下垂较传统单纯额肌瓣悬吊术操作简单,损伤小,并发症少,手术成功率高,更符合生理解剖特点,矫正重症上睑下垂安全可靠。

Objective To explore the clinical curative effect to correct severe ptosis by connecting frontalis with palpebrae superior.Methods 36 patients（43 eyes）with severe ptosis had undergone the corrective surgery in our hospital.3 months to 2 years investigation,13 months average.Results Ptosis of 31 patients were conspicuous corrected.Ptosis of 5 patients were improved,no patient was undercorrection.Conclusion This method is designed according to the physiological functions and anatomic structure of eyelid,less injure,less complications and more success.