联合筋膜鞘悬吊结合上睑提肌缩短术治疗维吾尔族中重度上睑下垂的临床效果

Clinical effect of combined fascial sheath suspension with upper blepharoplasty to treat congenital ptosis in Uygur population

目的探讨联合筋膜鞘悬吊结合上睑提肌缩短术治疗维吾尔族中重度上睑下垂患者的临床效果。方法选取2015年12月至2017年9月新疆维吾尔自治区人民医院整形外科收治的维吾尔族中重度上睑下垂患者42例63眼，用联合筋膜鞘悬吊结合上睑提肌缩短术进行手术矫正。观察患者术后矫正效果，对并发症及满意度进行随访。结果中重度上睑下垂改善有效率95．0％，手术治疗效果良好，术后不良反应发生率、疾病复发率明显较其他术式减少。结论联合筋膜鞘悬吊结合上睑提肌缩短治疗维吾尔族重度上睑下垂满意度比中度患者高。中度患者眼睑闭合不全发生率较重度患者低。

Objective To investigate the clinical effect of combined fascial sheath suspension with upper blepharoplasty to treat congenital ptosis in Uygur population. Methods 42 patients with congenital ptosis （63 eyes） were selected during December 2015 to September 2017 in the People＇s Hospital of Xinjiang Uygur Autonomous Region. Combined fascia sheath suspension with levator levatot shortening was used for the treatment. The postoperative correction effect was observed and the patients were followed up for the complications and satisfaction. Results The moderate and severe ptosis was improved and the effective rate was 95.0%, and so the surgical treatment was effective. The incidence of adverse reactions and the recurrence rate of the disease were significantly lower than those of other procedures. Conclusions CFS plus LM treatment for severe ptosis has obvious surgical results in Uygur population, and the satisfactory rate is higher than moderate patients. In addition, the incidence of orbital regurgitation in moderate patients is lower than that in severe patients.