摘要目的 探讨采用联合筋膜鞘悬吊术矫正提上睑肌缩短术治疗上睑下垂失败后导致的重度上睑下垂的可行性和有效性.方法 2010年12月至2016年12月北京来美安医疗美容诊所治疗提上睑肌缩短术后复发的重度上睑下垂患者336例,采用联合筋膜鞘悬吊予以矫正.术后随访1～5年.对患者修复术前、后上睑缘中点到角膜反光点的距离、重睑形状、外观和不良反应等指标给予记录和统计学分析,从功能、美容、并发症3方面进行效果评估.结果 336例患者495只患眼,治愈426只眼(86.1％),改善65只眼(9.1％),无效4只眼(0.8％).无严重的并发症.结论 联合筋膜鞘悬吊治疗提上睑肌缩短术后复发上睑下垂,具有操作简单,创伤小,重复操作性强,手术结果高度可预测的优点.

abstractsObjective To evaluate the safety and efficacy of Conjoint Fascial Sheath (CFS) suspension in the treatment of severe blepharoptosis,after levator muscle resection.Methods In total of 336 patients with severe blepharoptosis after levator muscle resection,received CFS suspension from December 2010 to December 2016 in Beijing Lomeye Cosmetic Surgery Clinic.They were followed up for 12-60 months.The margin reflex distance,curve of upper eyelid,appearance and complications were recorded preoperatively and postoperatively.The outcome was evaluated based on function,aesthetics and complication.Result Functional satisfaction assessment:In the 495 eyes of 336 patients,426 eyes (86.1％) were completely corrected,65 eyes (9.1％) were improved,while 4 eyes (0.8％) had no improvement.One patients had conjunctival edema,recovered after conservative treatment.There was no serious complication.Conclusions CFS suspension is an effective method for severe blepharoptosis after levator muscle resection,with advantages of repeatability and feasibility,less trauma and predictable outcome.