眶隔后壁-提上睑肌复合体与真皮眼轮匝肌复合瓣内固定在重睑术中的临床应用  

Clinical effect evaluation and analysis of the posterior orbital septal fascia-levator muscle complex and orbicularis oculi muscle fixation in double eyelid surgery

作　　者：田甜 刘茜楠 杨芷 TIAN Tian;LIU Qiannan;YANG Zhi(Department of Dermatology and Plastic Surgery,the Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China)

机构地区：[1]重庆医科大学附属第三医院皮肤/整形美容中心,401120

出　　处：《临床外科杂志》2023年第5期482-485,共4页Journal of Clinical Surgery

摘　　要：目的分析眶隔后壁-提上睑肌复合体与真皮眼轮匝肌复合瓣内固定在重睑术中应用的临床效果。方法2020年4月~2021年10月我院行重睑手术的病人100例,随机分成两组,每组各50例。由同一手术医生采取两种不同的手术方式进行重睑手术,实验组采取眶隔后壁-提上睑肌复合体与真皮眼轮匝肌复合瓣内固定行重睑术,对照组采取传统皮肤-睑板-皮肤重睑术式。比较两种手术方式术后肿胀淤青程度、瘢痕情况、重睑形态及并发症发生情况。结果术后3天实验组肿胀评分为5.42±0.76,对照组为6.10±0.93。术后1周实验组肿胀评分为3.40±0.75,对照组为4.00±0.99。术后1个月时实验组肿胀评分为1.72±0.64,对照组为2.08±0.78,两组比较差异均有统计学意义(P<0.05)。术后1个月实验组瘢痕评分为2.58±0.70,对照组为3.20±0.67。术后6个月实验组瘢痕评分为1.14±0.40,对照组为1.50±0.58,两组比较差异有统计学意义(P<0.05)。术后6个月实验组重睑形态评分及自身满意度评分为4.00±0.45,4.00±0.49,对照组评分结果为3.84±0.42,3.72±0.57,两组比较差异有统计学意义(P<0.05)。实验组术后肉条感、台阶感发生率为2%,对照组为14%,两组比较差异有统计学意义(P<0.05)。对于术前存在轻度上睑下垂的2例病人,术后下垂情况改善,效果稳定。结论眶隔后壁-上睑提肌复合体与真皮眼轮匝肌复合瓣内固定重睑手术方式结合多种重睑手术的优点进行改良,适应范围广,解剖精简,手术损伤小,术后并发症少。重睑形态灵动自然。Objective To analyze the clinical effect of internal fixation of posterior orbital septum-levator muscle complex and orbicularis oculi in double eyelid surgery.Methods A total of 100 patients who received double blepharoplasty in the Third Affiliated Hospital of Chongqing Medical University from April 2020 to October 2021.They were randomly divided into experimental group(n=50)and control group(n=50)according to difffferent treatment methods.Surgery was performed by the same surgeon with two different surgical methods,the experimental group was treated with modified double eyelid surgery,and the control group was treated with traditional surgery.And the degree of postoperative swelling,eyelid scar,eye aesthetics and complications of the two surgical methods were analyzed and compared.Results The swelling score was 5.42±0.76 in the experimental group and 6.10±0.93 in the control group on the third day after operation.The swelling score was 3.40±0.75 in the experimental group and 4.00±0.99 in the control group one week after operation.The swelling score was 1.72±0.64 in the experimental group and 2.08±0.78 in the control group one month after operation.The differences were statistically significant(P<0.05).The scar score was 2.58±0.70 in the experimental group and 3.20±0.67 in the control group one month after operation.The scar score was 1.14±0.40 in the experimental group and 1.50±0.58 in the control group 6 months after operation,with statistical significance(P<0.05).Six months after operation,the double eyelid aesthetics score and self-satisfaction score of the experimental group respectively were 4.00±0.45,4.00±0.49.The results of the control group were 3.84±0.42,3.72±0.57,the differences were statistically significant(P<0.05).The incidence of complications such as the“stripped”or“stepped”appearance was 2%,lower than that in the control group 14%,and the difference was statistically significant(P<0.05).Symptoms of the two patients with mild ptosis was improved after surgery,and the effect

关 键 词：眶隔后壁-上睑提肌复合体 重睑成形术 上睑形态 并发症 

分 类 号：R779.6[医药卫生—眼科]