目的:探讨额肌瓣和提上睑肌腱膜瓣吻合术矫正重度上睑下垂的疗效。方法:对36例(43眼)重度先天性上睑下垂患者行额肌瓣和提上睑肌腱膜瓣吻合矫正术,术后随防3个月～2年,平均13个月。结果:矫正良好31例,矫正尚可5例,无矫正不良者。结论:额肌瓣与提上睑肌腱膜瓣吻合术矫正重症上睑下垂较传统单纯额肌瓣悬吊术操作简单,损伤小,并发症少,手术成功率高,更符合生理解剖特点,矫正重症上睑下垂安全可靠。 Objective: To explore the effect of frontal muscle flap and levator aponeurosis on correction of severe ptosis. Methods: Thirty-six patients (43 eyes) with severe congenital ptosis underwent frontal muscle anastomosis and anastomosis of the levator aponeurosis. The patients were followed up for an average of 13 months from 3 months to 2 years. Results: Good correction in 31 cases, correction is still 5 cases, no correction of poor. Conclusions: The frontal muscle flap and the levator aponeurosis anastomosis to correct severe ptosis is simple, less injury and less complications than the traditional simple frontalis flap suspension, which has a high success rate of surgery and is more in line with physiological anatomy. Severe ptosis is safe and reliable.