处理眼轮匝肌后脂肪对上睑臃肿重睑术的效果  

Importance of managing retro-orbicularis oculi fat in double-fold eyelid surgery for patients with swollen upper-eyelid

作　　者：刘萍 刘毅 马萍 李晓晓 杨福秀 汪引萍 Liu Ping;Liu Yi;Ma Ping;Li Xiaoxiao;Yang Fuxiu;Wang Yinping(Burn and Plastic Surgery Center,the 940th Hospital of the Joint Logistic Support Force of PLA,Lanzhou 730050,China)

机构地区：[1]解放军联勤保障部队第940医院烧伤整形科,兰州730030

出　　处：《中华医学美学美容杂志》2022年第5期379-382,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨眼轮匝肌后脂肪(ROOF)的处理在上睑臃肿重睑术的作用。方法 2018年1月至2020年1月, 解放军联勤保障部队第940医院烧伤整形科对76例(年龄18~58岁, 平均26岁)上睑臃肿单睑女性患者进行PARK法重睑术, 术中先由外向内、内窄外宽呈椭圆形剪除部分ROOF脂肪, 再适度去除部分外侧的眶隔内脂肪;若有肥厚的眼轮匝肌与睑板前脂肪影响重睑形成时, 可适当去除。结果术后随访7 d至24个月, 5例泪腺脱垂者泪腺复位较好无复发, 4例上睑下垂矫正后角膜暴露率正常, 外形自然;除2例重睑变浅外, 74例患者上睑臃肿均明显改善, 恢复期均较短, 重睑外形美观、弧度流畅, 瘢痕轻微, 手术效果满意。结论根据上睑臃肿患者导致上睑臃肿的原因综合处理, 依次适度去除各处眶脂肪与肥厚的眼轮匝肌, 才能取得较好的效果。Objective To explore the importance of managing retro-orbicularis oculi fat(ROOF)in double-fold eyelid operation for patients with swollen upper-eyelid.Methods From January 2018 to December 2020,76 cases of swollen upper-eyelid were treated with double-fold eyelid operation by PARK method.In operation,an oval shape ROOF was removed from the outside-to the inside,and then appropriate lateral intraorbital fat was also removed.If fleshy orbicularis oculi muscle and anterior tarsus fat affected appearance of double-fold eyelid,both of them might be removed properly.Results All patients were followed up from seven days to two years,two cases presented with shallowed double-fold eyelid,5 cases of lacrimal gland prolapse had good lacrimal gland reduction and no recurrence;4 cases of ptosis had normal corneal exposure and natural appearance after correction;the swollen upper-eyelid was obviously improved in 74 cases,and restoration stage was short,the apperaence and radian of doule-fold eyelid were beautiful,local scar was slight,satisfactory operative effect was achieved.Conclusions In double-fold eyelid operation by PARK method for patients with swollen upper-eyelid,an ideal effect would be achieved,if transconjunctival route and fleshy orbicularis oculi muscle are appropriately removed in turn according to the reasons to give rise to swollen upper-eyelid.

关 键 词：眼睑 上睑臃肿 眼轮匝肌后脂肪 重睑术 PARK法 

分 类 号：R779.6[医药卫生—眼科]