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目的探讨部分上睑板切除加上睑提肌缩短在中重度上睑下垂中的应用。方法对17例患者,根据上睑下垂程度,去除约1～3mm全层睑板,Mller肌,并缩短适量提上睑肌。结果术后17例患者上睑下垂均得到明显改善,外观满意,弧度自然。随访6个月至3年,效果稳定,无明显并发症。结论上睑板部分切除加适量提上睑肌缩短不失为矫正中重度上睑下垂患者的理想方法。
Objective To investigate the application of partial tarsal resection plus levator muscle shortening in moderate to severe ptosis. Methods Twenty-seven patients underwent a total removal of about 1 ~ 3 mm full thickness tarsus and Mller muscle according to the degree of ptosis and shortening the amount of levator muscle. Results Postoperative 17 patients with ptosis were significantly improved, the appearance of satisfaction, natural arc. Follow-up 6 months to 3 years, the effect is stable, no significant complications. Conclusion Partial removal of the upper tarsal plate plus the appropriate amount of levator muscle shortening is an ideal method to correct patients with moderate to severe ptosis.