“半开放”法重睑术在臃肿型单重睑中的应用  

Double eyelid operation by “semi-open” on single-edged eyelid patients with upper eyelid swollen

作　　者：俞珊[1] 张盛玲[1] 袁冰峰[1] 

机构地区：[1]南京中医药大学附属江阴市中医院整形美容科,江苏江阴214400

出　　处：《中国美容医学》2016年第5期4-5,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨对于上睑臃肿的单眼皮患者采用"半开放"法重睑术的手术方法及临床效果。方法:沿重睑线由正中点向外侧切开皮肤约10mm。处理切缘上下皮下眼轮匝肌、眶隔及脂肪,充分显露睑板前筋膜,按连续埋线法行重睑术,后按切开重睑术缝合法缝合两针,关闭切口。结果:采用该术式行重睑术63例,术区均无明显瘢痕,重睑保持稳定,效果满意。结论:"半开放"法重睑术可适用于上睑皮肤臃肿而不愿接受切开法重睑术的单眼皮患者,该术式创伤小,出血少,肿胀轻,恢复快,重睑效果自然、流畅,值得推广。Objective This essay discussed about the methods and effects of double eyelid operation by ＂semi-open＂ on singleedged eyelid patients with upper eyelid swollen.Methods A incision with 10 mm was made from the point to the outside along the double eyelid lines.Then the right amout of orbicular is muscle,orbital septum and fat under surgical margin were moved,and the front meibomian fascia was exposured.At last,two stitches were carried out according to the double eyelid operation with incision method and then the incision was sutured.Results There have been 63 cases used this methods.63 cases recovered well without cicatrix.Double eyelid operation remains stable and the results were satisfied.Conclusions＂Semi-open＂ method of double eyelid surgery can be applied to the single-edged eyelid patients with upper eyelid swollen who are unwilling to accept double eyelid operation with incision method.This method can be recommend for the advantages of minor damage,less bleeding,slight swelling and quick recocery.The effect of double eyelid is natural and smooth.

关 键 词：上睑臃肿 重睑术 半开放法 轮匝肌 

分 类 号：R622[医药卫生—整形外科]