老年腱膜性上睑下垂矫正术后的眉眼部美学比例关系分析  

Relationship between eyebrow and eye aesthetics after correction of aponeurotic ptosis

作　　者：袁远 林婉儿 关晓莹 苏冬莹 王燕 Yuan Yuan;Lin Waner;Guan Xiaoying;Su Dongying;Wang Yan(Department of Ophthalmology,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Guangzhou University of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二附属医院、广东省中医院眼科,广州510120 [2]广州中医药大学,广州510120

出　　处：《中华医学美学美容杂志》2023年第3期190-194,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨老年腱膜性上睑下垂患者术前术后眉眼部比例变化。方法 2019年1月至2020年12月, 广东省中医院眼科收治老年腱膜性上睑下垂患者54例(108眼)为观察组, 收集48例(96眼)年轻健康人资料为青年对照组, 收集50例(100眼)无上睑下垂老年健康人资料为老年对照组。对术前及术后6个月眉眼部数据进行测量, 评估术后眉眼部比例变化及比例关系。结果与术前比较, 观察组术后6个月上睑缘角膜映光距离(MRD1)、睑裂高度(HPF)增加, 各个位点的眉眼间距缩短(P<0.05)。术后6个月内侧眉眼间距(MBH)、中央眉眼间距(CBH)、外侧眉眼间距(LBH)较术前变化率分别为(88.29±11.69)%、(85.04±14.96)%、(93.61±13.56)%, 其中CBH缩短最大, 缩短距离(3.76±2.43)mm。观察组术后6个月MRD1、HPF增加, 显著大于老年对照组(P<0.05)。各个位点的眉眼间距均缩短, 但显著大于青年对照组(P<0.05);与老年对照组比较, MBH、CBH显著缩短(P<0.05);与术前相比较, 观察组术后6个月HPF/CBH、HPF/睑裂长度(LPF)比值增加, 外眦-眉尾连线(LLE)/LPF比值下降(P<0.05);观察组术后6个月HPF/CBH小于青年对照组, 大于老年对照组(P<0.05)。观察组术后6个月HPF/LPF显著大于老年对照组(P<0.05), 观察组术后6个月LLE/LPF显著大于青年对照组(P<0.05);术中提上睑肌缩短量(LMS)与术后MBH、CBH、LBH呈负相关(P<0.05), 其中LMS与CBH相关性最大(r=-0.587, P<0.05)。结论通过手术, 患者眉眼部比例优于同年龄段老年人, 术中LMS与眉眼间距有相关性, 可作为预测眉眼间距缩短距离的因素之一。Objective To evaluate the specific changes and importance of the proportions of the eyebrows and eyes after surgery by analyzing and measuring the changes of the values of the eyebrows and eyes in elderly patients with aponeurotic ptosis before.Methods A total of 54 cases(108 eyes)of elderly patients with aponeurotic ptosis who were treated in our department from 2019.01 to 2020.12 were collected preoperatively and 6 months postoperatively,and they were set as the study group.At the same time,the data of 48 cases(96 eyes)of healthy people with good face were collected and set as the young control group,and the data of 50 cases(100 eyes)of elderly healthy people without ptosis were collected and set as the elderly control group.The corresponding objective data were ana-lyzed,and the specific changes and proportional relationship of eyebrows and eyes after surgery were evaluated.Results Compared with the preoperative data,the marginal reflex distance 1(MRD1),the height of the palpebral fissure(HPF)in the study group increased at 6 months after the operation,and the distance between the eyebrow and eye at each site increased or shortened(P<0.05).Six months after the operation,the brow height from medial canthus(MBH),the central brow and eye distance(brow height from upper eyelid margin on midpupillary level,CBH),and the lateral brow and eye distance(brow height from lateral,LBH)had been changed.The change rates of canthus compared with preoperatively were that(88.29±11.69)%,(85.04±14.96)%,and(93.61±13.56)%,respectively,among which CBH shortened most significantly,and the shortened distance was(3.76±2.43)mm.The MRD1 and HPF in the group increased significantly at 6 months after operation,which were significantly greater than those in the elderly control group(P<0.05).CBH was significantly shortened(P<0.05);compared with preoperative,the ratio of HPF/CBH,HPF/length of the palpebral fissure(LPF)in the study group increased at 6 months after operation,and the lateral canthus brow tail line[ratio of lateral canthus t

关 键 词：老年人 腱膜 上睑下垂 眉眼部 美学分析 

分 类 号：R779.6[医药卫生—眼科]