改良倒“L”法内眦赘皮矫正术联合切开法重睑术的临床应用  

Clinical application of modified inverted L-shape epicanthus correction combined with double eyelid plasty

作　　者：尹宏宇 王川[2] 彭启立 崔磊 Yin Hongyu;Wang Chuan;Peng Qili;Cui Lei(Department of Plastic Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Plastic Surgery,Beijing Tsinghua Changgung Hospital of Tsinghua University,Beijing 102218,China;Department of Maxillofacial Surgery,Plastic Surgery Hospital of Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100144,China;Department of Central Laboratory,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院整形美容外科,北京100038 [2]清华大学附属北京清华长庚医院整形外科,北京102218 [3]中国医学科学院整形外科医院颌面整形外科中心,北京100144 [4]首都医科大学附属北京世纪坛医院中心实验室,北京100038

出　　处：《首都医科大学学报》2020年第6期887-890,共4页Journal of Capital Medical University

基　　金：国家自然科学基金(81471798);首都医科大学附属北京世纪坛医院中心实验室建设经费(2019-JS04)。

摘　　要：目的探讨改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计在临床中的应用效果。方法自2018年1月至2020年1月,共有求美者358人,716只眼,均采用改良倒“L”法矫正内眦赘皮联合切开法重睑术进行手术治疗,倒“L”短臂与重睑切口相连续,长臂隐藏于下睑缘。术后6个月开始通过患者术后效果评价表(Patient Reported Outcome Measures,PROM)随访,最后对术后效果进行评价。结果347位求美者对术后效果满意,11位求美者、15只眼出现了重睑或内眦形态不佳的问题,均予以二次手术修复,满意率达97%。结论本文设计的改良倒“L”法内眦赘皮矫正术与切开法重睑术的联合切口设计是一种简便实用、易于掌握的矫治单睑伴内眦赘皮方法,求美者满意度高,值得在临床推广应用。Objective To explore the clinical effect of the correction of epicanthus by the modified inverted L-shape epicanthoplastycombined with double eyelid surgery.Methods From January 2018 to January 2020,a total of 716 eyes of 358 patients had undergone the inverted L-shape epicanthoplasty and double eyelid plasty.The inverted“L”short arm was continuous with double eyelid incision,and the long arm was hidden in the lower eyelid margin.All the patients were followed up in 6 month after the operation using the PROM(Patient Reported Outcome Measures)to evaluate the outcomes.Results Totally 347 patients were satisfied with operation result.The contours of the eyelid fissure were smooth and natural,while the surgery scare was hidden naturally.15 eyes in 11 patients had the poor morphology after operation of epicanthoplasty and double eyelid plasty,all of which were repaired with the second operation,and the satisfaction rate is 97%.Conclusion The inverted L-shape epicanthoplasty combined with double eyelid plasty we explored was an effective and practical method.

关 键 词：倒“L”法内眦赘皮矫正术 切开法重睑术 内眦赘皮 单睑 

分 类 号：R62[医药卫生—整形外科]