改良式自体脂肪移植治疗上睑凹陷畸形的效果分析  

Clinical effect of modified autogenous fat grafting for sunken upper eyelid

作　　者：孙宝珊[1] 金蓉[1] 张路[1] Sun Baoshan;Jin Rong;Zhang Lu(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中华医学美学美容杂志》2021年第2期94-96,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨改良式自体脂肪移植对上睑凹陷的治疗效果,旨在简化手术方法和减少并发症.方法2014年1月至2018年5月,上海交通大学医学院附属第九人民医院整复外科对55例(女54例,男1例;年龄29~70岁,平均43.2岁)上睑凹陷患者行改良自体脂肪填充注射,将以往在上睑皮下深层注入较大团块注射方法改良为在皮下浅层片状均匀地注入细小颗粒的自体脂肪,并对术后效果及并发症进行评估.结果55例患者均在术后即刻表现为轻度上睑臃肿和轻度短时间(7~10 d)睁眼费力,两侧对称情况较好.>8个月随访,47例患者上睑凹陷明显改善,8例患者出现并发症,包括不对称3例、上睑臃肿3例、上睑结节1例、臃肿伴不对称1例.结论改良式自体脂肪移植手术方法操作简单,并发症较少;但上睑臃肿、不对称、结节时有发生.Objective To study the clinical effect of modified autogenous fat grafting for sunken upper eyelid in order to simplify surgical methods and to reduce complications.Methods From January 2014 to May 2018,fifty-five patients with sunken upper eyelid were enrolled in this study.The traditional autologous fat filling injection was modified in present study,and the previous injecting method of large columnar fat mass in the deep subcutaneous layer of upper eyelid was modified;instead,small fat particles were injected into the superficial layer of subcutaneous tissue.After treatment the clinical efficacy and complications were evaluated.Results Fifty-five patients were followed up for more than eight months,among which forty-seven patients were satisfied with the results and the depression of upper eyelid was significantly improved.However,postoperative complications were found in seven patients,including three patients encountered asymmetry,three patients presented upper-eyelid swelling,one patient had a nodule in the eyelid,and one patient suffered both swelling and asymmetry.The complications rate was 14.5%.Conclusions Modified autologous fat transplantation is an ideal method for cosmetic repair of sunken upper eyelid,which is easy to operate and can effectively reduce the incidence of complications.However,some complications such as swelling,asymmetry and nodule in the upper eyelid still occur occasionally.

关 键 词：移植 自体 脂肪 上睑 改良 并发症 

分 类 号：R779.6[医药卫生—眼科]