Park重睑术中部分切除眼轮匝肌深层脂肪矫正上睑臃肿疗效观察  

Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid

作　　者：董彦慧 曹哲[1] 梁晓琴[1] 崔久林[1] 吴军[1] 解植伟 吉彩霞[1] 

机构地区：[1]潍坊医学院整形外科研究所,山东潍坊261042

出　　处：《中国修复重建外科杂志》2017年第8期996-998,共3页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：山东省自然科学基金资助项目(ZR2014HL054);山东省高等学校科技计划项目(J14LL08)~~

摘　　要：目的探讨Park重睑术中同时切除部分上睑眼轮匝肌深层脂肪矫正上睑臃肿的效果。方法 2015年9月—2016年7月,对32例双侧上睑臃肿患者行Park重睑术时,同时切除部分眼轮匝肌深层脂肪。男10例,女22例;年龄19~32岁,平均25岁。均为双眼手术。提上睑肌肌力均正常,均无重睑手术史。结果患者切口均Ⅰ期愈合,无明显淤血肿胀、提上睑肌功能障碍发生。术后患者均获随访,随访时间2~14个月,平均10个月。患者重睑线弧度自然流畅,内眦赘皮无牵拉变形,重睑形态达自然状态,无凹陷性瘢痕形成,上睑臃肿明显改善,提上睑肌功能正常。患者对手术效果满意。结论 Park重睑术中部分切除眼轮匝肌深层脂肪可有效改善上睑臃肿患者重睑术后的美学效果,达到功能与形态完美结合的目的。Objective To investigate the effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct the swollen upper eyelid. Methods Between September 2015 and July 2016, partial resection of the retro-orbicularis oculi fat was performed on 32 cases with bilateral swollen upper eyelids in Park double eyelid surgery. There were 10 males and 22 females with an average age of 25 years （range, 19-32 years）. The patients had normal function of the levator muscle, and had no history of double eyelid surgery. Results All the incisions healed by first intention. There was no obvious congestion, sweUing, levator muscle dysfunction. All patients were followed up 2-14 months, with an average of 10 months. The double eyelid fold was naturally smooth, without depressed scar; blepharochalasis was obviously improved, and the function of upper eyelid levator muscle was normal. All patients were satisfied with the aesthetic effect. Conclusion Park double eyelid surgery and partial resection of retro-orbicularis oculi fat can effectively improve the aesthetic effect in patients with swollen upper eyelid, and can achieve the perfect function and appearance.

关 键 词：上睑臃肿 Park重睑术 眼轮匝肌深层脂肪 

分 类 号：R62[医药卫生—整形外科] R779.6[医药卫生—外科学]