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目的观察膨体聚四氟乙烯(e-PTFE)额肌悬吊术与额肌瓣悬吊术治疗先天性上睑下垂临床效果比较。方法回顾性分析比较了2012年9月至2014年9月就诊于我院58例先天性上睑下垂患儿,分别接受两种不同术式,在术后比较观察睑裂高度,眼表状态,眼睑闭合情况,术后美容效果及并发症。结果 e-PTFE额肌悬吊术组与额肌瓣悬吊术组相比,前者眼睑闭合时间明显短于后者,泪膜破裂时间长于后者,角膜点染评分前者明显低于后者。前者暴露性角膜炎,上睑内翻倒睫等并发症较少,其余美容及功能效果比较无统计学差异。结论e-PTFE额肌悬吊术与额肌瓣悬吊手术相比,手术功能与美容效果满意基本一致,但具有术后恢复时间短,眼表状态好,并发症少的特点。
Objective To observe the clinical effects of e-PTFE frontal muscle suspension and frontal muscle flap suspension in the treatment of congenital ptosis. Methods A retrospective analysis of 58 children with congenital blepharoptosis who were treated in our hospital from September 2012 to September 2014 were compared and accepted two different types of surgery. The height of palpebral fissure, the status of ocular surface, Eyelid closure, postoperative cosmetic effects and complications. Results The eyelid closure time was significantly shorter in e-PTFE frontalis suspension group compared with the frontal muscle flap suspension group. The tear film rupture time was longer than the latter. The former corneal dilatation score was significantly lower than the latter. The former exposure keratitis, upper eyelid trichiasis and other complications less, the rest of the cosmetic and functional effects were no significant difference. Conclusion Compared with the frontal muscle flap suspension operation, the e-PTFE frontal muscle suspension surgery is basically satisfied with the satisfactory cosmetic effect but has the advantages of short postoperative recovery time, good ocular surface status and few complications.