单切口微创重睑术临床应用探讨  

The double eyelid plasty with single minimally invasive incision

作　　者：朱薛锋[1] 邓景成[2] 蒋朝华[2] 丁架月[2] 

机构地区：[1]浙江省丽水市人民医院医疗美容科,浙江丽水323000 [2]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中国美容医学》2015年第10期18-21,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨单切口微创重睑术的临床应用价值。方法：自2012年10月以来共49例（98眼）17~30岁单睑女性患者,于重睑线中段行单点微创小切口,经此切口去除肥厚的眼轮匝肌和多余的眶隔脂肪,将切口边缘皮肤缝合于睑板前筋膜上,最后在重睑两侧分别行压线法缝合一针,6~7d拆线。结果：49例（98眼）术后随访3~24个月,所有患者均在1~2月内消肿,重睑线形成持久、自然,且瘢痕不明显,患者满意度高。结论：单切口微创重睑术具有创伤小、恢复快、效果可靠、持久等优点,得到了越来越多整形美容外科医师的认可,值得在临床推广使用。Objective To discuss clinic significance of double eyelid plasty with single minimally invasive incision. Methods Since October 2012,49 cases（98 eyes）aged 17 to 30 years with single eyelid were treated by double eyelid plasty with single minimally invasive incision and followed prospectively.During the operation first cut a short incision about 1cm in the middle of the double eyelid line,and remove the pachyntic orbicularis muscle and redundant orbit fat through this incision,then suture the incision on the pretarsal fascia and make a needle with sutures at the two sides of the incision along the double eyelid line. Results 49 cases（98 eyes）were followed up for 3 months to 24 months,all swellings were recovered for 1 to 2 months after operation with lasting and natural double eyelid shape and slight scars.The satisfaction of all patients was high. Conclusion Double eyelid plasty with single minimally invasive incision has been more and more recognized by plastic and aesthetic surgeons for the advantage of minor damage,short swelling period and permanent effects.It should be widely spread in clinic.

关 键 词：重睑手术 微创 单切口 

分 类 号：R622[医药卫生—整形外科]