Objective To explore the efficacy of levator muscle resection in severe blepharoptosis.Methods Sixty-three eyes of 47 patients with severe blepharoptosis were enrolled from March 2008 to December 2014 in the bright hospital of Junan Red Cross Society.Patients were divided into two groups according to the operation method.Group A (20 patients, 30 eyes) was treated with frontalis muscle flap suspension, and group B (27 patients, 33 eyes) was treated with levator muscle resection.All the operations were done by the same physician.All patients were followed up for 1 year and the curative effects were compared between the two groups.Results Operation success rate was 99%in both groups.At 1 year, results maintained satisfied in 26 eyes from group A.The cure rate was 86.7%.Undercorrection (3 eyes, 10%) and overcorrection (1 eye, 3.3%) were noticed.In group B, results remained satisfied in 30 eyes, and the cure rate was 90.9%.There were undercorrection (2 eyes, 6.1%) and recurrence (1 eye, 3%).There was no significant different in“lid height” grading between the two group ( P >0.05).In“lid crease” grading, there were 20 cases of basically satis-factory (66.7%), 9 cases of good (30%), and 1 case of unsatisfactory (3.3%) in group A.In group B, the numbers were 30 cases (90.9%), 2 cases (6.1%) and 1 case (3%), respectively.There was significant different in “lid crease” grading between the two group ( P <0.05).Conclusion Lavator muscle resection has good effect on the treat-ment of severe blepharoptosis.It resulted in good“lid crease” and the effect was reliable .%目的：探讨提上睑肌缩短术治疗重度上睑下垂的疗效。方法连续收集2008年3月至2014年12月因重度上睑下垂在莒南县光明医院就诊的患者47例（63只眼），按手术方式的不同分为A、B两组，A组20例（30只眼）患者行额肌筋膜瓣悬吊术， B组27例（33只眼）患者行提上睑肌缩短术。两组均为同一医师手术，术后随访1年，观察两组术后功能及外观疗效。结果 A、B两组患者术后早期成功率均为99％，术后1年矫正满意率：A组基本满意26只眼（86．7％），欠矫3只眼（10％），过矫1只眼（3．3％）。 B组为基本满意30只眼（90．9％），欠矫2只眼（6．1％），复发1只眼（3％），两组从上睑高度方面比较差异无统计学意义（ P ＞0．05）。重睑形成满意率：A组，基本满意20只眼（66．7％），良好9只眼（30％），不满意1只眼（3．3％）。 B组为基本满意30只眼（90．9％），良好2只眼（6．1％），不满意1只眼（3％），两组从重睑形成方面比较差异有统计学意义（ P ＜0．05）。结论提上睑肌缩短术可有效的矫正重度上睑下垂，且重睑形成良好，手术效果稳定。
展开▼
