先天性上睑下垂提上睑肌缩短显微手术临床观察

Clininal observation of microscopic operation shortening levator palpebrae superioris for treatment of moderate and severe congenital ptosis

目的:探讨显微镜下进行提上睑肌缩短治疗中、重度先天性上睑下垂的临床效果。方法:对53例68眼确诊为中、重度先天性上睑下垂的患者,在显微镜下进行提上睑肌缩短术。结果:术后随访观察3mo～1a,68眼上睑下垂中,治愈41眼;基本治愈27眼。总满意率为100%。术后所有患者全部矫正满意,外观良好、无并发症发生。结论:用显微手术进行提上睑肌缩短治疗中、重度先天性上睑下垂成功率高,疗效好。

AIM：To discuss clininal effect of microscopic operation shortening levator palpebrae superioris for treatment of moderate and severe congenital ptosis.METHODS：Part of the levator palpebrae superioris of 53 paients（68eyes）who had moderate and severe congenital ptosis was resected in the microscope.RESULTS：Observed for 3 months to 1 year,cure was in 41 eyes and basic cure in 27 eyes of the 68 eyes operated.The satisfactory rate was 100%.All the patiens was satisfied with the microscopic operation.They were good looking and there were no complications.CONCLUSION：The microscopic operation for treatment of moderate and severe congenital ptosis is considered effective with high success rate.