两种术式矫治不同程度先天性上睑下垂的疗效分析

Clinical effect of two surgery methods on correction of different degrees of congenital ptosis

目的探究对不同程度先天性上睑下垂的患者使用不同术式矫治的临床效果。方法将我院收治的20例先天性上睑下垂的患者随机分为A组和B组,各10例。A组患者给予提上睑肌缩短术治疗,B组患者给予额肌瓣悬吊术治疗,对两组患者进行定期的随访,观察手术效果。结果治疗后,复发率、欠矫率及并发症发生率比较,A组患者分别为20.00%、30.00%、30.00%,B组患者分别为10.00%、10.00%、0.00%。A组患者中,满意人数有5例,满意率为50.00%;B组患者中,满意人数有8例,满意率为80.00%。结论对于程度较轻的先天性上睑下垂的患者使用提上睑肌缩短术治疗的效果较好,对于中重度的患者使用额肌瓣悬吊术治疗的效果较好。

Objective To explore the clinical effect of two surgery methods on correction of different degrees of congenital ptosis. Methods Twenty cases of patients with congenital ptosis in our hospital were collected and randomly divided into group A and group B, with 10 eases in each group. The patients in group A were given shortening operation of musculus levator palpebrae superioris, while the patients in group B were given frontalis muscle flap suspension operation. The patients of the two groups were regularly followed up and the effects of the operations were observed. Results After treatment, the recurrence rate, not correction rate, and complication rate in the group A were 20.00%, 30.00% and 30.00% respectively, while in the group B they were 10.00%, 10.00% and 0.00% respectively. In the group A, 5 patients were satisfied, the satisfaction rate was 50.00%. In the group B, 8 patients were satisfied, the satisfaction rate was 80.00%. Conclusion The shortening operation of musculus levator palpebrae superioris is better to treat the congenital ptosis mild patients. The frontalis muscle flap suspension operation is better to treat the congenital ptosis moderate patients.