提上睑肌缩短联合睑板部分切除术治疗29例中重度上睑下垂患者的短、中期随访研究

Short and mid-term follow-up study of 29 patients with moderate to severe ptosis treated with levator palpebral shortening combined with partial sacral resection

目的探究提上睑肌缩短联合睑板部分切除术治疗中重度上睑下垂的临床效果。方法选取2012年7月~2015年6月我院中重度上睑下垂患者58例,依据随机数表法分为对照组(n=29)与试验组(n=29)。试验组行提上睑肌缩短联合睑板部分切除术,对照组行额肌瓣悬吊术。统计两组近期疗效,术后随访1年,对比两组并发症发生情况。结果试验组近期疗效优于对照组,随访1年并发症发生率较对照组低(P<0.05)。结论对中重度上睑下垂患者联合采用提上睑肌缩短、睑板部分切除术治疗,可显著提高临床效果,且并发症发生率较低。

Objective Objective To investigate the clinical effect of levator shortening operation combined with Partial resection of eyelid plate for moderate to severe ptosis. Methods From July 2012 to June 2015, 58 patients with moderate ptosis in our hospital were selected and divided into control group（n=29） and experimental group（n=29） according to the random number table method. The experimental group was treated with upper diaphragmatic shortening combined with partial sacral resection, and the control group underwent frontal muscle flap suspension. The short-term effects of the two groups were compared and the patients were followed up for 1 year. The complications of the two groups were compared. Results The short-term efficacy of the experimental group is better than. The incidence of complication after 1 year of follow-up was lower than that of the control group（P〈0.05）. Conclusion The combination of upper iliac crest shortening and partial sacral resection for patients with moderate to severe ptosis can significantly improve clinical outcomes and have a lower incidence of complications.