儿童先天性重度上睑下垂的手术治疗

Correction of congenital blepharoptosis with operation in children

目的探讨额肌腱膜瓣悬吊手术治疗先天性重度上睑下垂的时机、临床疗效和并发症。方法对24例（36眼）施行了额肌腱膜瓣悬吊术治疗先天性上睑下垂的儿童患者进行回顾性分析。结果随访3～6个月24例（36眼）全部都获得矫正，手术后2d35眼上睑下垂被矫正、仅1眼手术后第2天出现上眼睑血肿，打开释放血肿后次日恢复正常。手术后患者有不同程度眼睑闭合不全，于6个月内恢复正常。无眼睑内、外翻、睑缘畸形或暴露性角膜炎等并发症发生。结论额肌腱膜瓣悬吊手术是治疗儿童先天性重度上睑下垂的良好方法。

Objective To study surgical method of frontalis muscle flap suspension （FMFS） for congenital blepharoptosis and its timing, clinical effects and complications. Methods 24 children （36 eyes） with congenital blepharoptosis, performed with FMFS surgery, were analyzed retrospectively. Results 24 cases （36 eyes） were well corrected after surgery, 1 of which unwent hemotoma and was cleaned. Sign of mild lagophthalmus, usually existing for a short time, disappeared through 3 - 6 months postoperatively. There were no occurrence of complications such as blepharelosis, ectropion of lid, deformity of palpebral margin or exposure keratitis. Conclusion The method, very easy and effective, could be taken as the first choice for congenital blepharoptosis.