切开法重睑术的治疗效果及并发症的处理  

Clinical efficacy and strategy of complications of blepharoplasty for double eyelids

作　　者：王文婷 褚国华 李红东[1] 马静 汪垠[1] Wang Wenting, Chu Guohua, Li Hongdong, Ma Jing, Wang Yin(Department of Plastic Surgery, the Fourth Affiliated Hospital of Anhui Medical University, He f ei 230000, China)

机构地区：[1]安徽医科大学第四附属医院整形美容科,合肥230000

出　　处：《中华医学美学美容杂志》2018年第5期313-316,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨切开法重睑术后并发症发生的原因、预防、处理方法。方法选择2011年7月至2017年12月于安徽医科大学第四附属医院整形美容科行切开法重睑术100例患者为研究对象，分析临床资料。结果所有患者顺利完成手术，切口均一期愈合，无感染。术后3个月随诊时，睑裂正中重睑宽度（7．0±112）mm。86例患者重睑线流畅，两侧基本对称，效果满意。14例患者部分出现重睑不对称（7％）、重睑过窄（4％）、重睑过宽（2％）、重睑线变浅或消失（2％）、多重睑（3％）、上睑下垂（1％）等并发症。半年后行重睑修复术，术后效果均满意。结论把握患者整体轮廓及局部细节，做到术前设计精确、术中操作仔细、术后护理规范、可明显减少并发症。Objective To investigate the causes, the prevention and the treatment of the complications of blepharoplasty for double eyelids. Methods The clinical data, the surgery methods and the causes were analyzed in 100 cases of blepharoplasty from July 2011 to December 2017. Results All of these patients underwent these perfect procedures with satisfied anesthesia. Incisions were all healed in one stage with no infection. Double eyelid width was （7.0± 1.2） ram with natural and smooth lines after 3 months operation, 86 patients （86%） had double eyelid with natural and smooth lines, slight scars and good bilateral symmetry. 14 patients （14%） required surgical revision for complications, as asymmetry of supratarsal folds （7%）, over narrow of supratarsal folds （4%）, over width of supratarsal folds （2 %）, disappearance of supratarsal folds （2 %）, multiple eyelid （3 %） and ptosis （1%）, and the effects were satisfactory. Conclusions In order to achieve the natural and smooth double eyelids, it is important for plastic surgeons to have the comprehensive grasp of overall outline and operational details in blepharoplasty for double eyelids. Preoperative design should be accurate, intraoperative procedures should be careful, and postoperative care should be standardized.

关 键 词：眼睑成形术 手术后并发症 治疗结果 回顾性研究 重睑 

分 类 号：R779.6[医药卫生—眼科]