眼球突出度在切开法重睑术中的影响  

Influence of exophthalmos on design of double eyelid incision

作　　者：隋朝阳 华骋 毛凯平[1] 刘肃 苗嫄昕[1] 陈振雨[1] 张维娜[1] Sui Zhaoyang;Hua Cheng;Mao Kaiping;Liu Su;Miao Yuancin;Chen Zhenyu;Zhang Weina(Department of Plastic and Reconstructive Surgery,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院美容整形外科,青岛266000

出　　处：《中华医学美学美容杂志》2023年第2期104-108,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨眼球突出度对于切开法重睑术的影响,并在术前设计及术中做出调整。方法2021年6月至2022年3月,青岛大学附属医院美容整形外科收治要求行单睑重睑术女性美容就医者50例,年龄19~35岁,平均24.6岁。术前用眼球突出计测量眼球突出度,正常组为双眼突度12~15 mm(26例),轻度突出组为双眼突度16~18 mm(14例),重度突出组为双眼突度19~22 mm(10例)。所有美容就医者均行眶隔法切开重睑术。结果术后随访6个月,3组双眼闭眼重睑宽度差异无统计学意义(均P>0.05);正常组睁眼重睑宽度小于轻度突出组(F=23.23,P<0.05),轻度突出组睁眼重睑宽度小于重度突出组(F=47.70,P<0.05)。3组面部美学改善率差异无统计学意义(P>0.05);正常组双眼重睑肿胀感与瘢痕形成小于轻度突出组(F=16.92,F=33.45,均P<0.05),轻度突出组双眼重睑肿胀感与瘢痕形成小于重度突出组(F=27.93,F=28.53,均P<0.05);正常组改善率高于轻度突出组和重度突出组(χ^(2)=7.25、7.89,均P<0.05),轻度突出组和重度突出组改善率差异无统计学意义(P>0.05)。结论医师对高眼球突出度美容就医者行眶隔法切开重睑术时,应在术前设计及术中做出相应改变。Objective To compare the postoperative effects of double eyelid surgery with different exophthalmos to find its influence on the surgery and necessary changes in preoperative design and during operation.Methods A total of 50 female patients with single eyelid seeking beauty from June 2021 to March 2022 were selected from the Department of Plastic Surgery,Affiliated Hospital of Qingdao University.The ocular protrusion was measured by HETEL ophthalmostatometer before surgery.Both eyes at 12-15 mm were taken as normal group(n=26),both eyes at 16-18 mm as mild protrusion group(n=14)and both eyes at 19-22 mm as severe protrusion group(n=10).All the patients were treated with double-eyelid surgery by orbital septum and unified postoperative nursing.Results After six months of follow-up,there was no difference in eyelid width with closed eyes(all P>0.05).The width of double eyelid with open eyes in normal group was smaller than that in mild protrusion group(F=23.23,all P<0.05),and the width of double eyelid with open eyes in mild protrusion group was smaller than that in severe protrusion group(F=47.70,all P<0.05).There was no difference in the improvement rate of facial aesthetics among the three groups(P>0.05).The"feeling of meet"and scar formation in the normal group were less than those in the mild protrusion group(F=16.92,F=33.45,all P<0.05),and the"feeling of meet"and scar formation in the mild protrusion group were less than those in the severe protrusion group(F=27.93,F=28.53,all P<0.05).The improvement rate of normal group was higher than that of mild and severe protrusion group(χ^(2)=7.25,7.89,all P<0.05).There was no difference in the improvement rate between the mild and severe protrusion groups(P>0.05).Conclusions In clinical practice,it is necessary to make corresponding changes in the preoperative design and operation of double eyelid surgery for patients with high eyeball protrusion.

关 键 词：眼睑成形术 切开重睑术 眼球突出度 眶隔 眼轮匝肌 

分 类 号：R779.6[医药卫生—眼科]