不同术式治疗中老年女性上睑区松弛的临床效果  

Classification and surgical management of upper-lid dermatochalasis in middle-aged and elderly women

作　　者：吴文渊[1] 孔豫苏[1] 鲁加祥[1] 喻翔[1] Wu Wenyuan Kong Yusu Lu Jiaxiang Yu Xiang.(Department of Burn and Plastic Surgery, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Chin)

机构地区：[1]贵州医科大学附属医院烧伤整形科,贵阳550004

出　　处：《中华医学美学美容杂志》2017年第1期39-42,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨中老年女性上睑区松弛的临床分度，以及选择不同的术式治疗效果。方法对2005年1月至2015年9月就诊的133例40岁以上中老年女性美容就医者，根据上睑皮肤软组织松弛程度、眉下垂的情况、眼功能的影响等因素进行分度。分别采取重睑去皮术、眉下切口去皮术、眉上切口提眉术及重睑去皮＋眉上切口提眉术4种术式治疗。结果133例美容就医者中非常满意107例（80．4％），基本满意19例（14．3％），不满意7例（5．3％）。结论了解美容就医者上睑区松弛的特点，根据上睑区松弛的分度设计个性化治疗方案，选择适合的手术方式，是治疗中老年女性上睑区松弛并取得满意效果的关键。Objective To explore the clinical classification of upper lid dermatochalasis in middle-aged and elderly women for choosing appropriate surgical methods and evaluating the efficacy of the treatment. Methods A lot of 98 cases of middle aged and elderly women above 40, who underwent surgical treatment between January 2005 and September 2015, were retrospectively analyzed. The dermatochalasis was classified according to the relaxation of upper lid soft tissue, eyebrow ptosis and the effect of eye function. Therefore, four surgical treatments were designed for patients upper eyelid incision, infraeyebrow incision, eyebrow lifting and upper eyelid incision plus eyebrow lifting. Results Of the 133 treated cases, the post-operative cosmetic result was assessed as very satisfactory in 107 （80.4%） cases; as satisfactory in 19 （14.3%） cases, and as dissatisfactory in 7 （5.3%） cases. Conclusions The key to satisfactory treatment of upper lid blepharoplasty for middle-aged and elderly women lies in designing personalized treatments and choosing appropriate surgical methods according to the classification of upper lid relaxation.

关 键 词：上睑成形术 中老年女性 上睑皮肤松弛 眉下垂 

分 类 号：R62[医药卫生—整形外科]