CAJ | 학술논문

目的：对比观察改良额肌腱膜瓣悬吊术与传统额部悬吊术治疗重度先天性上睑下垂的临床疗效。方法将我院2008年3月至2012年3月收治的76例（87只眼）重度先天性上睑下垂患者按照不同手术方式分为治疗组（43例，行改良额肌腱膜瓣悬吊术）和对照组（33例，行传统额部悬吊术），对两组治疗效果进行综合比较。结果治疗组治愈率达到88．37％，明显高于对照组66．67％（ P ＜0．05）；随访1至3年，两组患者均未出现严重并发症。结论改良额肌腱膜瓣悬吊术治疗重度先天性上睑下垂的临床效果显著，优于传统额部悬吊术，值得临床推广应用。
목적：대비관찰개량액기건막판현조술여전통액부현조술치료중도선천성상검하수적림상료효。방법장아원2008년3월지2012년3월수치적76례（87지안）중도선천성상검하수환자안조불동수술방식분위치료조（43례，행개량액기건막판현조술）화대조조（33례，행전통액부현조술），대량조치료효과진행종합비교。결과치료조치유솔체도88．37％，명현고우대조조66．67％（ P ＜0．05）；수방1지3년，량조환자균미출현엄중병발증。결론개량액기건막판현조술치료중도선천성상검하수적림상효과현저，우우전통액부현조술，치득림상추엄응용。
Objective To compare the clinical efficacy between modified frontalis muscle suspension and frontal suspension in treating severe congenital ptosis .Methods We had 76 patients with severe congenital ptosis admitted to our hospital from March 2008 to March 2012.Patients were divided into treatment group (43 cases, received modified frontalis muscle suspension) and control group (33 cases, received frontal suspension ) and the efficacy of two groups were com-pared.Results The cure rate of treatment group was 88.37%, which was significantly higher than that of control group ( P <0.05).After 1 to 3 years of follow-up, there were no serious complications in two groups .Conclusions Modified frontalis muscle suspension is significantly more effective to treat severe congenital ptosis than traditional frontal suspension .