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目的探讨提上睑肌折叠术治疗轻中度上睑下垂的疗效。设计回顾性病例系列。研究对象30例(43眼)提上睑肌肌力达8mm以上的轻、中度上睑下垂患者。方法采用经皮肤入路的提上睑肌折叠术,无需分离提上睑肌,观察手术前后上睑睑缘位置的变化。主要指标第一眼位上睑睑缘位置。结果术后随访6个月～2年,平均13.1个月。30例(43眼)患者第一眼位上睑睑缘位于正常位置,3例(3眼)欠矫,1例(1眼)过矫,术后效果满意。结论提上睑肌腱膜折叠术适合于轻中度上睑下垂患者。
Objective To investigate the efficacy of levator muscle fold in the treatment of mild to moderate ptosis. Design retrospective case series. Thirty patients (43 eyes) with mild or moderate ptosis who had levator muscle strength more than 8 mm were studied. Methods The percutaneous approach to the levator palpebral fold surgery was used to observe the changes of upper eyelid margins before and after surgery. The main index of the first eyelid eyelid position. Results Postoperative follow-up 6 months to 2 years, an average of 13.1 months. In the 30 cases (43 eyes), the eyelid margin of the first eye was in normal position, 3 cases (3 eyes) undercorrected, and 1 case (1 eye) overcorrected. The postoperative results were satisfactory. Conclusion Levator aponeurosis is suitable for patients with mild to moderate ptosis.