三瓣吻合矫正术对重度上睑下垂患者临床效果评价  

Evaluation of the Clinical Effect of Three-valve Matching Orthopaedics on Patients with Severe Blepharoptosis

作　　者：黄静 王红 郭一敏 姚岚 HUANG Jing;WANG Hong;GUO Yi-min;YAO Lan(Department of Medical Cosmetology,Chengde Stomatological Hospital,Chengde 067000,Hebei,China)

机构地区：[1]承德市口腔医院医学美容科,河北承德067000

出　　处：《中国美容医学》2021年第11期34-38,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究三瓣吻合矫正术对重度上睑下垂患者的治疗效果以及美观改善情况。方法:选择2017年1月-2021年1月在承德市口腔医院医学美容科接受治疗的76例重度上睑下垂患者,根据随机数字表法分为对照组和观察组,每组各38例。对照组使用提上睑肌缩短术联合翼状韧带悬吊术,观察组使用三瓣吻合矫正术。对比两组术后3个月治疗效果、术前以及术后3个月的眼睑生理功能与眼睑美学效果、术后不良反应、患者治疗满意程度。结果:术后3个月,观察组患者治疗效果优于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组的眼睑自然闭合时的睑裂高度低于对照组,上眼睑活动度、眼睑美学效果评分均高于对照组(P<0.05)。两组患者术后并发症发生率的数据差异无统计学意义(P>0.05)。观察组的治疗满意度评分高于对照组(P<0.05)。结论:采用三瓣吻合矫正术治疗重度上睑下垂的患者,可有效提高治疗效果,改善眼睑的生理功能,提高美容效果和患者的满意度,较为安全。Objective To explore the therapeutic effect and aesthetic improvement of three-valve anastomosis on patients with severe blepharoptosis. Methods A selection of 76 patients with severe blepharoptosis who were treated in the medical aesthetic department of chengde stomatological hospital from January 2017 to January 2021 were divided into a control group and an observation group according to a random number table, with 38 cases in each group. The control group used levator palpebral muscle shortening combined with pterygoid ligament suspension, and the observation group used three-valve anastomosis correction. The treatment effect at 3 months after the operation, the physiological function of the eyelid and the aesthetic effect of the eyelid before and 3 months after the operation, the adverse reactions after the operation, and the patient’s satisfaction with the treatment were compared between the two groups. Results Three months after the operation, the treatment effect of the observation group was better than that of the control group, and the difference was statistically significant(P<0.05). Three months after the operation, the height of the palpebral fissure when the eyelids were naturally closed in the observation group was lower than that of the control group, and the upper eyelid mobility and eyelid aesthetic effect scores were higher than those of the control group(P<0.05). There was no statistically significant difference in the incidence of postoperative complications between the two groups of patients(P>0.05). The treatment satisfaction score of the observation group was higher than that of the control group(P<0.05). Conclusion The use of three-valve anastomosis to treat patients with severe blepharoptosis can effectively improve the treatment effect, improve the physiological function of the eyelids, improve the cosmetic effect and patient satisfaction, and it was safer.

关 键 词：上睑下垂 三瓣吻合矫正术 上睑肌缩短术 翼状韧带悬吊术 生理功能 美观效果 

分 类 号：R622[医药卫生—整形外科]