方法：回顾性分析2013-03/2016-03在我院进行治疗的46例68眼中重度上睑下垂患者的临床资料，根据手术方法的不同分为研究组(23例34眼)和对照组(23例34眼)，研究组行联合筋膜鞘悬吊术(conjoint fascial sheath，CFS)，对照组行额肌瓣悬吊术，对两组患者上睑下垂矫正程度、上睑回退情况、满意度和并发症发生情况进行比较。

结果：研究组治疗中重度上睑下垂的正矫率高于对照组，差异有统计学意义(P<0.05)。治疗后研究组上睑回量明显低于对照组，差异有统计学意义(P<0.05)。研究组对治疗的满意度高于对照组，差异有统计学意义(P<0.05)。研究组并发症发生率明显低于对照组，差异有统计学意义(P<0.05)。

结论：联合筋膜鞘悬吊术治疗中重度上睑下垂具有很高的矫正率，并具有创伤小、并发症少和可重复性强等优点。

METHODS:In March 2013 to March 2016 in our hospital, 46 patients with moderately severe ptosis(68 eyes)were taken as the research objects. According to random number table method, they were divided into study group and the control group, 23 cases in each group. Study group(34 eyes)received the joint fascial sheath suspension(CFS), the control group(34 eyes)received frontalis muscle suspension. The degree of ptosis correction, upper eyelid retracted, satisfaction and complications of two groups were compared.

RESULTS:The corrected rate of the treatment group was higher than that of the control group, the difference was statistically significant(P<0.05). After treatment, the upper eyelid retracted of the study group was significantly lower than that of the control group, the difference was statistically significant(P<0.05). The satisfaction of the treatment group was higher than that of the control group, the difference was statistically significant(P<0.05). The incidence of complications in the study group was significantly less than that in the control group, and the difference was statistically significant(P<0.05).

CONCLUSION: Conjoint fascial sheath suspension is more effective on the treatment of severe ptosis than the simple frontalis muscle suspension, and has advantages such as less trauma, repeatable, and less complication.