外侧睑板条悬吊术与改良肌皮瓣法治疗下眼睑松弛疗效对比  

Comparison of the Effect of Lateral Tarsal Sling and Modified Myocutaneous Flap in the Treatment of Lower Eyelid Relaxation

作　　者：黄静 王红 郭一敏 姚岚 HUANG Jing;WANG Hong;GUO Yimin;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》2022年第3期17-19,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对比外侧睑板条悬吊术与改良肌皮瓣法治疗下眼睑松弛的疗效。方法:选取自2019年2月-2020年2月于承德市口腔医院医学美容科接受下眼睑松弛治疗的90例患者,以随机数字表法将参与研究的患者随机分为对照组(45例)和研究组(45例)。对照组行改良肌皮瓣法治疗,研究组行外侧睑板条悬吊术治疗。对比两组术后1个月、6个月、12个月下眼睑松弛和瘢痕分数、复发率、满意度。结果:研究组术后1个月、6个月、12个月下眼睑松弛和瘢痕分数显著优于对照组,差异有统计学意义(P<0.05);研究组术后患者满意度明显优于对照组(P<0.05);研究组术后复发率显著低于对照组(P<0.05)。结论:外侧睑板条悬吊术治疗下眼睑松弛的临床疗效显著,复发率低,且满意度较高,值得临床应用和推广。Objective To compare the effect of lateral tarsal sling and modified myocutaneous flap in the treatment of lower eyelid relaxation.Methods From February 2019 to February 2020,90 patients who received lower eyelid relaxation treatment in the Medical Aesthetic Department of Chengde Stomatological Hospital were selected,and the patients participating in the study were randomly divided into control groups(45 cases)and Study group(45 cases).The control group was treated with modified myocutaneous flap method,and the study group was treated with lateral tarsal suspension.The lower eyelid laxity and scar scores,recurrence rate,and satisfaction of the two groups were compared at 1 month,6 months,and 12 months after surgery.Results The lower eyelid sagging and scar scores of the study group were significantly better than those of the control group at 1 month,6 months,and 12 months after the operation,and the difference was statistically significant(P<0.05),the postoperative patient satisfaction of the study group was significantly better than that of the control group(P<0.05).The postoperative recurrence rate of the study group was significantly lower than that of the control group(P<0.05).Conclusion Lath suspension of the lateral eyelid in the treatment of lower eyelid laxity has significant clinical effect,low recurrence rate,and high satisfaction,worthy of clinical application and promotion.

关 键 词：外侧睑板条悬吊术 改良肌皮瓣法 下眼睑松弛 临床疗效 患者满意度 

分 类 号：R622[医药卫生—整形外科]