改良Park法重睑术的临床应用及疗效分析  

Clinical applicability and therapeutic effect analysis of the modified park method double-eyelid operation

作　　者：谢燕燕 张基勋[1] 姜笃银[1] XIE Yanyan, ZHANG Jixun, JIANG Duyin(Department of Bums and Plastic Surgery, The Second Hospital of Shandong University, Institute of Tissue Engineering of Shandong University, Jinan 250033, Chin)

机构地区：[1]山东大学第二医院整形烧伤外科山东大学组织工程研究所,山东济南250033

出　　处：《山东大学耳鼻喉眼学报》2018年第2期91-94,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：国家自然科学基金(81372074;81071560;30772258);山东省科技攻关项目(2009GG10002078;2015GSF118041)

摘　　要：目的探讨改良Park法重睑术的临床效果。方法 2013年4月至2016年12月,行改良Park法行重睑术564例。所有患者均行双侧改良Park法重睑术,有162例同时进行了内眦赘皮矫正术。患者上睑缘均位于瞳孔上缘,提上睑肌肌力>8 mm。结果 98.9%的患者术后切口Ⅰ期愈合,7 d拆线时肿胀较轻。患者跟踪随访2~25个月,94.5%的患者术后6个月重睑弧线流畅,切口下皮肤紧绷,外形对称,瘢痕轻微。结论改良Park法重睑术,术后恢复期短,形态自然,可加强提上睑肌肌力,矫正上睑皮肤松垂,重睑效果可靠。Objective In this study,we aimed to evaluate the therapeutic effect of the modified Park method double-eyelid operation.Methods Five hundred and sixty-four modified Park method double-eyelid operations were performed from April 2013 to December2016; 551 of the patients were female and 13 were male. The average age of the patients was 31 years（ range,16 to 46 years）. Bilateral modified Park method double-eyelid operations were performed on all the patients,and 162 patients underwent epicanthoplasty as well. In each patient,the margin of the upper eyelids coincided with the pupil,and the levator muscle force was higher than 8 mm. Results Postoperatively,the incision healed at the first stage in 98.9% of the patients and there was only minor tumescence when the stitches were removed at 7 days after the operation. The follow-up duration in all patients ranged from 2 to 25 months. As a result,94.5% of the patients achieved natural and smooth double eyelids with symmetrical configuration and minor scar. Their incisions healed quickly with tight skin tissue underneath. Conclusion The modified Park method double-eyelid operation results in a short convalescence period,natural double eyelid,higher levator muscle force,lifted upper eyelid,and a favorable effect.

关 键 词：改良Park法 重睑术 提上睑肌腱膜 眼轮匝肌 

分 类 号：R622.9[医药卫生—整形外科]