改良三点式重睑术矫治上睑皮肤松弛的疗效及美学效果评价  

Clinical and Aesthetic Evaluation of Modified Three-point Double Eyelid Surgery for Correction of Upper Eyelid Skin Relaxation

作　　者：邓莹莹 丁慰祖[1] DENG Ying-ying;DING Wei-zu(Department of Ophthalmology,Shanghai Eighth People's Hospital,Shanghai 200235,China)

机构地区：[1]上海市第八人民医院眼科,上海200235

出　　处：《中国美容医学》2020年第8期4-7,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨运用改良三点式重睑术矫治上睑皮肤松弛的疗效及美学效果。方法:共收集笔者医院整形外科2017年1月-2018年6月接受重睑术矫治的78例上睑皮肤松弛患者,随机数表法分为对照组和研究组,两组各39例。对照组采用切开法及缝线法等传统重睑术治疗,观察组运用改良三点式重睑术矫治,比较两组手术疼痛、术后恢复时间、一期愈合及并发症发生情况等,结合典型病例分析改良三点式重睑术矫治的美学效果。结果:研究组术后VAS评分明显低于对照组[(2.2±0.8)分VS(2.7±1.1)分],术后恢复时间显著短于对照组[(35.4±6.1)dVS(72.6±10.5)d],差异均有统计学意义(t=2.296、19.131,P<0.05)。研究组均一期愈合,术后重睑弧线流畅自然,双眼对称,面部自然,且未见并发症发生。研究组患者就上睑皮肤松弛矫正美学效果的总满意度为100.00%,明显高于对照组(87.18%),差异有统计学意义(P<0.05)。结论:运用改良三点式重睑术矫治上睑皮肤松弛,不仅手术疼痛感轻、术后恢复时间短和并发症少,而且改善睑部形态效果显著,达到满意的整形美学效果,值得临床推广应用。Objective To explore the effect and aesthetic effect of modified three-point double eyelid operation for correction of upper eyelid skin relaxation.Methods A total of 78 patients with upper eyelid skin relaxation who underwent double eyelid surgery from January 2017 to June 2018 in our hospital were randomly divided into the control group and the research group,39 cases in each group.The control group was treated with traditional double eyelid surgery such as incision and suture.The research group was treated with modified three-point double eyelid surgery.The operation pain,recovery time,primary healing and complications were compared between the two groups.The aesthetic effect of modified three-point double eyelid surgery was analyzed with typical cases.Results The VAS score of the research group was significantly lower than that of the control group[(2.2±0.8)VS(2.7±1.1)],the difference was statistically significant(t=2.296,P<0.05).The recovery time of the research group was significantly shorter than that of the control group[(35.4±6.1)d VS(72.6±10.5)d,P<0.05].All patients in the research group healed in stage I.The double eyelid arc was smooth and natural after operation.The eyes were symmetrical and the face was natural.No complications occurred.The total satisfaction of the patients in the research group was 100.00%,which was significantly higher than that in the control group(87.18%,P<0.05).Conclusion The application of modified three-point double eyelid operation to correct upper eyelid skin relaxation not only has mild pain,short recovery time and fewer complications,but also has remarkable effect on improving eyelid morphology,and achieves satisfactory plastic aesthetic effect,which is worthy of clinical application.

关 键 词：上睑皮肤松弛 改良三点式重睑术 传统重睑术 切开法 缝线法 美学效果 

分 类 号：R622[医药卫生—整形外科]