联合眼轮匝肌-上睑提肌双重缝合固定在重睑成形术中的应用  

Clinical effects of combined muscle double fixation on blepharoplasty

作　　者：张本寿 徐志久 解潮 陈颖 朱芬芳 舒真 徐立君 李子英 时晶晶 Zhang Benshou;Xu Zhijiu;Xie Chao;Chen Ying;Zhu Fenfang;Shu Zhen;Xu Lijun;Li Ziying;Shi Jingjing(Department of Plastic Surgery,100 Hospital of PLA,Suzhou 215007,China)

机构地区：[1]解放军第九0四医院整形外科,苏州215007

出　　处：《中华医学美学美容杂志》2020年第4期310-312,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨联合眼轮匝肌-上睑提肌双重缝合在重睑成形术中的效果。方法2015年12月至2018年12月,解放军第九0四医院整形外科对90例患者(女79例,男11例;年龄18~49岁)采用联合眼轮匝肌-上睑提肌双重缝合固定法,适度去除部分肥厚眶隔脂肪,行单睑重睑成形术,术后评估效果。结果本组90例患者切口均一期愈合,无明显肿胀,瘀血。术后随访3~24个月,所有受术者上睑臃肿均有明显改善,闭眼时上睑皮肤平整、睁眼时睫毛上翘、弧度自然、效果满意。结论联合眼轮匝肌-上睑提肌固定法切除部分眶脂肪,既可改善上睑臃肿形态,又可形成持久而稳定的生理性重睑。Objective To explore the effect of combined orbicularis muscle double stitch operated on blepharoplasty.Methods A total of 90 patients,79 females and 11 males,aged 18-49 years,were treated by using combined orbicularis muscle double stitch procedure,that is,to fix upper lifting muscle,to remove partial fat,and to perform blepharoplasty.Results All 90 cases'incisions were healed at the first phase,no obvious swelling and bleeding.Within 3-24 months follow up,all patients'upper eyelids were significantly improved.The skin was smoothy when closing eyes,and eyelash was up when opening eyes,and arc was natural and satisfactory.Conclusions This method can improve the shape of the upper eyelid swelling and get long-lasting and stable physiological eyelid.

关 键 词：肿泡眼 联合肌 眶脂肪 双重固定 重睑成形术 

分 类 号：R779.6[医药卫生—眼科]