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目的:对比提上睑肌缩短术和额肌瓣悬吊术对不同程度先天性上睑下垂患者的疗效,为临床上选取合适的术式提供依据。方法:选取2014年8月至2015年12月我院收治的64例先天性上睑下垂患者为研究对象,按随机数字表法分为A组和B组各32例。A组行提上睑肌缩短术,B组行额肌瓣悬吊术。术后定期回访3-12个月,评价两种术式的临床疗效、并发症发生率及术后满意率。结果:A组总有效率为68.75%,低于B组的84.38%,差异有统计学意义(P<0.05),A组轻度患者的总有效率高于B组,中、重度患者的总有效率低于B组,差异有统计学意义(P<0.05)。A组并发症发生率为15.63%,低于B组的31.25%,差异有统计学意义(P<0.05)。A组的术后满意率为37.50%,低于B组的78.13%,差异有统计学意义(P<0.05),且A组轻度患者术后满意率高于B组,中、重度患者术后满意率低于B组,差异有统计学意义(P<0.05)。结论:提上睑肌缩短术对轻度先天性上睑下垂患者疗效较好,额肌瓣悬吊术对中、重度先天性上睑下垂患者疗效较好,临床应根据患者病情程度选择合适的治疗术式。
OBJECTIVE: To compare the curative effect of levator muscle shortening and frontal muscle flap suspension on patients with congenital ptosis of different degrees, and to provide a basis for selecting suitable surgical methods in clinical practice. Methods: Sixty-four patients with congenital blepharoptosis who were treated in our hospital from August 2014 to December 2015 were selected as study subjects and divided into group A and group B according to random number table. A group of line levator muscle shortening, B group line amount of muscle suspension. The patients were followed up regularly for 3-12 months. The clinical efficacy, the incidence of complications and the rate of postoperative satisfaction were evaluated. Results: The total effective rate in group A was 68.75%, lower than 84.38% in group B, the difference was statistically significant (P <0.05). The total effective rate in group A was higher than that in group B, and the total effective rate in moderate and severe patients The effective rate was lower than that in group B, the difference was statistically significant (P <0.05). The incidence of complications in group A was 15.63%, which was lower than that in group B (31.25%), the difference was statistically significant (P <0.05). The satisfaction rate of postoperative in group A was 37.50%, which was lower than 78.13% in group B, the difference was statistically significant (P <0.05), and the satisfaction rate in group A was higher than that in group B After satisfaction rate was lower than group B, the difference was statistically significant (P <0.05). Conclusion: Levator anterior patellectomy has a good effect on patients with mild congenital ptosis. The frontal muscle flap suspension has a good effect on patients with moderate and severe congenital ptosis. According to the severity of the patients, we should choose the appropriate Treatment of surgery.