额肌瓣悬吊术治疗先天性上睑下垂的临床观察

The clinical observation of curing congenital ptosis with frontalis muscle flap suspension operation

目的:探讨额肌瓣悬吊术治疗先天性上睑下垂的临床疗效。方法:对我科2009年7月～2012年2月期间采用额肌瓣悬吊术治疗21例中重度先天性上睑下垂患者的临床资料进回顾性分析。结果:全部21例(23眼)患者中,I级治愈22眼(95.6%),Ⅱ级治愈1眼(0.4%),无1例失败。术后所有患者均随访6～24个月,术眼上睑均恢复正常的生理功能,未出现角膜上皮擦伤脱落、角状畸形、暴露性角膜炎、结膜脱垂、术后感染、上睑内翻等并发症发生,术后双眼均对称,疗效满意。结论:额肌瓣悬吊术是矫正中重度先天性上睑下垂较为理想的手术方法,术后效果持久可靠,基本符合眼睑的生理功能,值得临床推广使用。

Objective： To investigate the clinical curative effect of operation curing congenital ptosis with frontalis muscle flap suspension. Methods ：To retrospectively analyze the clinical data in our hospital Of 21 paradigms grossly congenital ptosis patients cured with frontalis muscle flap suspension operation from July, 2009 to February, 2012. Result：Of the 23 eyes of 21 patients, 22 eyes were cured in first level（95.6% ） and 1 eye was cured in second level （4.4%）. There was no failure of the operation. After the operation, all of the patients were followed up in six to twenty-four months, all of whose palpebra frontalises recovered to normal physiologic function and no complication occured, which including abrasio eorneae desquamation, deformed corniform, exposure keratitis, conjunctiva prolapse, postoperative infection, upper eye- lid entropion and so on. Besides, the eyes still symmetrical and the result of curative effect were satisfying. Conclusion ： Frontalis muscle flap suspension operation is an ideal technique to cure the grossly congenital ptosis. The postoperative result was reliable. It nearly recovered the physiologic function. The method is worthy of clinical application.