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探讨先天性睑四联症Ⅰ期修复术的效果。本组４例手术均采用内眦韧带缩短及Ｓｐａｅｔｈ氏改良法矫治内眦赘皮，Ｂｌａｓｋｏｒｉｃ楔形瓣切除术做外眦成形术，经皮肤切口上睑提肌缩短徙前术矫治上睑下垂。三种术式均为同期手术，术后随访观察１～２年。本组４例患者术后均见内眦赘皮消失，泪阜外露。内眦间距由术前平均４０ｍｍ减至术后平均３３ｍｍ，睑裂横径由术前平均２１ｍｍ增至术后平均２６ｍｍ。睑裂纵径由术前平均４ｍｍ增至术后平均８ｍｍ。皮肤瘢痕不明显，容貌大为改观。本文采用的手术方法术式简单，创伤小，缩短了手术时间，减少了病人痛苦并对手术设计、术中要点及本方法的优点和存在的问题进行了讨论。
To investigate the effect of phase Ⅰ repair of congenital tetralogy of Fallot. This group of 4 cases of surgery were used to shorten the sphenoidal ligament and Spaeth’s improved method of treatment of epicanthus, Blaskoric wedge flap surgery to do the hysteroplasty, the skin incision levator muscle shortening anterior pike correction surgery to treat ptosis. Three surgical procedures were the same period, follow-up observation of 1 to 2 years. The group of 4 patients were seen after epicanthus disappeared, tear Fu exposed. The internal fossa spacing was reduced from an average of 40mm before surgery to an average of 33mm after operation. The diameter of the palpebral fissure increased from an average of 21mm before surgery to an average of 26mm after the operation. The length of palpebral fissure was increased from 4mm preoperatively to 8mm postoperatively. Skin scar is not obvious, looks much improved. The surgical method adopted in this paper is simple, less traumatic, shortens the operation time, reduces the patient’s pain and discusses the operation design, the key points in surgery and the advantages and problems of this method.