目的分析异体阔筋膜悬吊术和额肌筋膜瓣悬吊术矫正重度先天性上睑下垂的效果。方法对56例78眼重度先天性上睑下垂住院病例行手术治疗,其中额肌瓣悬吊术20例36眼,阔筋膜悬吊术36例42眼。结果阔筋膜悬吊术的复发率高于额肌瓣悬吊术,且眼险弧度不易掌握,术后兔眼征明显。额肌瓣悬吊术双重睑形成稍差,术中出血较多。结论综合评估额肌瓣悬吊术,矫正重度先天性上睑下垂较为优势。 Objective To analyze the effect of allograft fascia suspension and frontal myofascial flap suspension to correct severe congenital blepharoptosis. Methods 56 patients with 78 eyes with severe congenital blepharoptosis were treated by surgery, of which 36 cases were frontal muscle flap suspension in 36 cases and 42 cases in laryngeal fascia suspension. Results lacrimal fascia suspension recurrence rate higher than the amount of muscle flap suspension, and difficult to grasp the curvature of the eye, after the rabbit sign obvious. Frontal muscle flap double eyelid formation slightly worse, more bleeding during surgery. Conclusion The combined assessment of frontal muscle flap suspension and correction of severe congenital ptosis is more advantageous.