[摘 要]目的 比较额肌腱膜悬吊术(FMS)与联合筋膜鞘悬吊术(CFSS)矫正重度上睑下垂的效果。方法 选择2022年11月-2024年8月文安古城医院收治的100例重度上睑下垂患者为研究对象，以随机数字表法分为对照组和观察组，每组50例。对照组接受FMS治疗，观察组接受CFSS治疗，比较两组眼睑状况、泪腺相关指标、矫正效果及并发症发生情况。结果 观察组上睑活动范围大于对照组，上睑回退量小于对照组(P<0.05)；观察组术后1个月泪膜破裂时间短于对照组，角膜荧光染色评分低于对照组(P<0.05)；两组矫正总有效率比较，差异无统计学意义(P>0.05)；两组并发症发生率比较，差异无统计学意义(P>0.05)。结论 FMS、CFSS两种矫正方式在重度上睑下垂患者中的矫正效果和安全性相当，但CFSS在改善患者眼睑状况及泪腺相关指标方面的效果更佳，应用价值确切。

    [关键词] 重度上睑下垂；额肌腱膜悬吊术；联合筋膜鞘悬吊术

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)24-0089-04

    Effect Comparison of Frontalis Tendon Membrane Suspension and Combined Fascial Sheath Suspension in the Correction of Severe Ptosis

    LI Huiming

    (Department of Ophthalmology， Wen’an Ancient City Hospital， Langfang 065800， Hebei， China)

    [Abstract]Objective To compare the effect of frontalis tendon membrane suspension (FMS) and combined fascial sheath suspension (CFSS) in the correction of severe ptosis. Methods A total of 100 patients with severe ptosis admitted to Wen’an Ancient City Hospital from November 2022 to August 2024 were selected as the research subjects， and they were divided into control group and observation group by the random number table method ......