改良额肌瓣治疗上睑下垂的临床分析

Clinical Analysis of Modified Frontal Muscle Flap in the Treatment of Ptosis

目的探讨改良额肌瓣悬吊术治疗上睑下垂的的方法及临床效果。方法 2009年到2011年在我院眼科门诊和住院共收治上睑下垂患者25例,其中先天性上睑下垂患者12例(22只眼),后天性原因不明患者13例(25只眼),均采用改良额肌辩悬吊术进行治疗,并对治疗效果进行分析。结果 47只眼中经过手术治疗后,44只眼疗效满意,占93.62%,3只眼疗效为基本满意,占6.38%。结论改良额肌瓣悬吊术治疗先天性和后天性上睑下垂手术方法简单,疗效显著,是临床值得首选的治疗方法。

Objective To investigatethe the methods and clinical effects of modified frontal muscle flap suspension in the treatment of ptosis. Methods 25 patients with ptosis treated in our hospital from 2009 to 2011 included congenital ptosis of 12 patients （22 eyes）, unexplained acquired 13 patients （25 eyes）, who were treated with the modified frontal muscle flap suspension. And the treatment effects were analyzed. Results After surgery of the 47 eyes, 44 eyes got satisfactory outcom （93.62%）, 3 eyes got general satisfaction （6.38%）. Conclusion The modified frontal muscle flap suspension treatment of congenital and acquired ptosis is simple and significantly effective, which is the preferred method of clinical treatment.