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目的 分析不同手术方法治疗重度上睑下垂发生术后回退的临床情况。方法 对我院 6年来共 98例 (12 5只眼 )重度上睑下垂的不同手术进行回顾性分析 ,其中 18只眼行改良方形缝线悬吊术 ,2 1只眼额肌瓣悬吊矫正术 ,86只眼行提上睑肌腱膜瓣—额肌吻合术。结果 改良方形缝线悬吊术发生术后回退约占 6 6 .7% ,额肌瓣悬吊矫正术占 2 8.6 % ,提上睑肌腱膜瓣—额肌吻合术约 2 4 .4 %。结论 各种重度上睑下垂矫正术 ,手术方法均有其优劣性 ,术后因不同机理发生不同程度的术后回退。
Objective To analyze the clinical situation of different surgical methods for the treatment of severe blepharoptosis. Methods A total of 98 cases (125 eyes) of severe blepharoptosis in our hospital during the past 6 years were retrospectively analyzed. Among them, 18 cases underwent modified square suture suspension and mitral valve flap suspension correction Surgery, 86 eyes to mention levator aponeurosis - frontal muscle anastomosis. Results The improvement rate of square suture suspension was about 66.7% after the operation, the amount of suspension of the frontal muscle flap accounted for 28.6%, and the levator aponeurosis flap-frontal muscle anastomosis was about 24.4% . Conclusion All kinds of severe blepharoptosis, surgical methods have their advantages and disadvantages, postoperative different degrees of postoperative remission due to different mechanisms.