[摘 要]目的 探究中重度上睑下垂患者接受筋膜鞘(CFS)悬吊与提肌复合体无张力缩短术联合治疗的效果。方法 选取淮安佳妍美容医院2023年2月-10月收治的64例中重度上睑下垂患者为研究对象，采用随机数字表法分为对照组与试验组，各32例。对照组行CFS悬吊，试验组行CFS悬吊联合提肌复合体无张力缩短术，比较两组临床疗效、上睑回退值与活动范围、眼表功能及并发症发生情况。结果 试验组治疗总有效率为93.75%，高于对照组的75.00%(P<0.05)；两组术后1个月上睑回退值低于术后1周，活动范围高于术后1周，且试验组上睑回退值低于对照组，活动范围高于对照组(P<0.05)；两组术后1个月泪膜破裂时间与泪液分泌试验结果比较，差异无统计学意义(P>0.05)；试验组并发症发生率为3.13%，低于对照组的18.75%(P<0.05)。结论 中重度上睑下垂患者接受CFS悬吊与提肌复合体无张力缩短术联合治疗矫正效果较好，术后上睑回退与活动范围情况好转，眼表功能良好，且并发症发生几率较低，值得临床应用。

    [关键词] 提肌复合体无张力缩短术；筋膜鞘悬吊；上睑下垂

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)22-0115-04

    Clinical Effect of CFS Suspension Combined with Levator Muscle Complex Tension-free Shortening in the Correction of Moderate to Severe Ptosis

    ZHAI Junwei

    (Huai’an Jiayan Beauty Hospital， Huai’an 223001， Jiangsu， China)

    [Abstract]Objective To explore the effect of combined treatment of conjoint fascial sheath (CFS) suspension and levator muscle complex tension-free shortening in patients with moderate to severe ptosis. Methods A total of 64 patients with moderate to severe ptosis admitted to Huai’an Jiayan Beauty Hospital from February to October 2023 were selected as the study subjects ......