睑缘切口内固定重睑成形术的效果  

Effects of double eyelid plasty with incision in eyelids margin position and internal fixation

作　　者：解佳璐 赵玉婷 章祥洲 Xie Jialu;Zhao Yuting;Zhang Xiangzhou(Department of Plastic Surgery,Bengbu Third People’s Hospital,Bengbu Medical College,Bengbu 233000,China)

机构地区：[1]蚌埠医学院附属蚌埠市第三人民医院烧伤整形科,蚌埠233000

出　　处：《中华医学美学美容杂志》2022年第5期372-374,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨睑缘切口内固定重睑成形术的临床效果。方法 2015年9月至2017年6月, 蚌埠市第三人民医院烧伤整形科美容整形门诊行双侧睑缘内切口重睑成形术患者47例, 男5例, 女42例, 年龄17~32(25±4)岁。于睑缘上1~2 mm处切开皮肤, 向上剥离并去除重睑线下眼轮匝肌、疏松组织、眶隔脂肪等, 在重睑线上做真皮与睑板内固定缝合, 并无张力间断缝合切缘皮肤。结果 47例患者手术均达到一期愈合, 术后上睑肿胀轻微, 重睑弧度自然流畅, 术后未出现感染、血肿、上睑下垂等并发症, 且切口线未见明显瘢痕增生, 重睑高度左右对称, 患者较满意。结论该术式具有创伤小、恢复快、术后瘢痕不明显、重睑形态自然、美观等优点, 可作为重睑成形术的补充术式, 值得临床应用。Objective To explore the clinical efficacy of the double eyelid plasty with incision in eyelids margin position and internal fixation.Methods A retrospective analysis was carried out in 47 patients who underwent double eyelid surgery in the outpatient department of our hospital from September 2015 to June 2017.There were 5 males and 42 females,aged from 17 to 32(25±4)years.The skin was incised above the eyelid margin of 1-2 mm after anesthesia,orbicularis oculi muscle under the eyelid line,loose organization,and orbital septum fat were stripped and removed.The dermis and the tarsus were sutured under the double eyelid line,and the skin was sutured without any tension.Results After collecting and analyzing 47 cases from September 2015 to June 2017 in our hospital with this method,we found that all 47 patients achievedⅠincision healing,which showed slight swell,natural and smooth radian of double eyelid,and without complications such as infection,hematoma and ptosis.And this method showed no obvious scar hyperplasia around incision line and thus possessed high patient satisfaction.Conclusions With the advantage of less trauma,quick recovery,unobvious scar,natural and beartiful double eyelids,this method can be used as a supplementary method for the reconstruction of the blepharoplasty,which is worth promoting.

关 键 词：眼睑成形术 重睑成形术 睑缘切口 效果 

分 类 号：R779.6[医药卫生—眼科]