额肌腱膜瓣悬吊术治疗儿童重度先天性上睑下垂的效果观察

Frontal muscle aponeurosis flap suspension surgery for severe congenital ptosis in children the effect observation

目的:探讨额肌腱膜瓣悬吊术治疗儿童重度先天性上睑下垂的临床效果。方法:对30例(45眼)重度先天性上睑下垂儿童施行额肌腱膜瓣悬吊术,术后评价近期效果,并随访观察。结果:术后1周评价满意18例30眼,一般11例14眼,不足1例1眼,成功率(满意+一般)97.7%。3个月后随访发现4例5眼由满意退回一般,2例2眼由一般退回不足,远期成功率为95.5%。结论:额肌腱膜瓣悬吊术术式简单有效,操作安全,并发症少,是治疗儿童重度先天性上睑下垂的首选方法。

Objective： To investigate theeffect ofsuspension of frontal aponeurosifor children with severe congenital ptosis. Methods： evaluate the recent results of 30 cases （45 eyes） of children with severe congenital ptosis andconduct follow-up observation. Results： one week after the sugerythe success rate is 97.7%, three months later95.5%. Conclusion： suspension of frontal aponeurosi is the first choice for children with severe congenital ptosis for its simplicity, safety and less complications.