多个微切口联合连续埋线法在上睑皮肤松弛重睑术的效果  

Clinical effects of multipoint tiny incision with continuous buried suture in double eyelidplasty for patients with mild or moderate dermatolysis

作　　者：石思银 石思美 张永红 黄力 陈艳清 Shi Siyin;Shi Simei;Zhang Yonghong;Huang Li;Chen Yanqing(Xingyimei Plastic Clinic,Chongqing 400038,China;Department of Hand and Burn and Plastic Surgery,NO.971 Hospital of PLA Navy,Qingdao 266071,China)

机构地区：[1]重庆星艺美整形美容门诊部,400038 [2]青岛海军第971医院手外烧伤整形科,266071

出　　处：《中华医学美学美容杂志》2020年第3期216-219,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨多个微切口联合连续埋线法在伴有轻中度上睑皮肤松弛的重睑术的效果。方法2008年5月至2019年2月,重庆星艺美整形美容门诊部对伴有轻中度上睑皮肤松弛的美容就医者行微切口联合连续埋线法重睑术1161例,男13例,女1148例,年龄25~50岁,均为首次行重睑术,正常单睑或重睑线窄要求加宽,无上睑下垂,皮肤松弛<4 mm。在上睑设计线上做4~5个2 mm小切口,通过小切口切取适量的眼轮匝肌及眶隔脂肪,行连续埋线将皮肤与上睑提肌腱膜粘连固定,小切口无需缝合,随访3个月至5年。结果1161例切口均愈合良好。23例进行了2次手术,其中8例因重睑线变浅或消失,5例重睑偏窄,要求加宽,10例双侧重睑不对称;其余1138例表示对重睑外观满意,平视重睑弧度自然,闭眼上睑皮肤平整、无明显凹陷,无明显瘢痕,远期效果均满意。结论多个微切口联合连续埋线法形成的重睑外形美观、自然,闭眼时平整无痕,效果稳定持久。Objective To analyze the effect of the multipoint tiny incision with continuous buried suture method in double eyelidplasty for patients with mild or moderate dermatolysis.Methods Totally,1161 patients from May 2008 to February 2019 underwent the double-eyelid surgical procedure with the multipoint tiny incision with continuous buried suture method.1148 patients were female and 13 patients were male,ranging from 25 to 50 years old.All the patients had normal single-eyelid or inborn narrow double-eyelid without blepharoptosis and they were performed double eyelidplasty for the first time.During the operation,moderate orbicularis oculi muscle and orbital septum fat were cut down from the four or five tiny incisions which were all 2 mm long.Skin levator fixation was performed through continuous buring suture between subcutaneous and the levator aponeurosis.Postoperative follow-up time points were 3 months,1 year and 5 years.Results There were 10 patients that showed slight asymmetry,8 patients'eyes showed shallow creases and 5 patients'double eyelids narrowed.These 23 patients were operated for the second time.Besides that,all the creases were symmetry,parallel and natural.Notched scars did not occur,and patients'satisfaction was achieved in the rest of the cases.Conclusions Our double eyelid procedure creates natural and beautiful double eyelids without depressed scars.The blepharoplasty of multipoint tiny incision with continuous buried suture method can produce a desired aesthetic effect and it lasts for a long time.

关 键 词：眼睑成形术 小切口 微创 埋线法 

分 类 号：R779.6[医药卫生—眼科]