内外联合入路下睑袋整复术的临床疗效分析  

Clinical Efficacy of Combined Transconjunctival and Transcutaneous Approach for Lower Eyelid Blepharoplasty

作　　者：秦高平[1] 宋勇[1] 张振信[1] QIN Gao-ping;SONG Yong;ZHANG Zhen-xin(Department of Burn Plastic and Cosmetic Surgery,Shaanxi Provincial People’s Hospital,Xi’an 710068,Shaanxi,China)

机构地区：[1]陕西省人民医院烧伤整形美容外科,陕西西安710068

出　　处：《中国美容医学》2018年第5期6-8,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨内外联合入路下睑袋整复术的临床应用效果。方法:2014年10月-2017年8月,笔者科室应用经结膜及经皮肤内外联合入路下睑袋整复术修复患者56例。首先行内路法,经结膜入路切开,去除眶隔内多余脂肪组织;第二步行外路法,经下睑睑缘皮肤切开,吸脂管在皮下行钝锐性结合分离,收紧下睑松弛皮肤,如伴有下睑轮匝肌及眶隔松弛者,同时行收紧手术。结果:手术顺利,术后患者下睑皱纹及眼周鱼尾纹均得到明显改善,效果理想,外观满意。2例出现术后并发症,给予对症处理后效果满意。结论:内外联合入路下睑袋整复术简单易行,手术创伤小,效果满意,对眼周鱼尾纹改善作用明显,是一种下睑袋治疗的理想方法。Objective To analysis and discuss the effect and clinical complications of the combined transconjunctival and transcutaneous approach for blephamoplasty. Methods From October 2014 to August 2017, 56 cases were treated by transconjunctival and transcutaneous combined lower eyelid blephamoplasty. The patients treated by transconjunctival incision, removal of orbital fat tissue. Then, treated by transcutaneous incision, to blunt or sharp isolate use liposuction tube, tighten the skin of lower eyelid relaxation, such as muscle and orbital septum relaxation, giving tighten operation. Results The operation was successful, and the complications occurred in two cases, and the effect was satisfactory after the treatment. ConclusionThe approach which combined transconjunctival and transcutaneous is a simple and easy operation, with small trauma and satisfactory effect. It is a good way to improve the tail grain of the eye, and it is an ideal method for the treatment of lower eyelid blephamoplasty.

关 键 词：下睑袋整形术 结膜入路 皮肤入路 内外路结合 鱼尾纹 

分 类 号：R622[医药卫生—整形外科]