微粒脂肪注射对下睑成形术后就医者泪槽宽度和美观度的影响分析  

Effect of Microfat Injection on the Width and Aesthetics of Lacrimal Groove after Lower Blepharoplasty

作　　者：胡倩文 周同葵[2] 龚梦童 刘晓峰[2] 赵莉娜[2] HU Qianwen;ZHOU Tongkui;GONG Mengtong;LIU Xiaofeng;ZHAO Lina(Department of Plastic Surgery,Bengbu Second People's Hospital,Bengbu 233000,Anhui,China;Department of Plastic Surgery,Xuzhou Central Hospital,Xuzhou 221000,Jiangsu,China)

机构地区：[1]蚌埠市第二人民医院整形外科,安徽蚌埠233000 [2]徐州市中心医院整形美容科,江苏徐州221000

出　　处：《中国美容医学》2024年第2期1-4,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析微粒脂肪注射对下睑成形术后就医者泪槽宽度和美观度的影响。方法:选取2022年1月-2022月11月于笔者医院接受治疗的80例泪槽畸形就医者作为研究对象,根据随机数字表法将其分为对照组40例(62眼)与研究组40例(59眼)。对照组就医者接受标准的下睑成形术,研究组就医者在手术期间收集眶下隔脂肪,下睑成形术后经皮微粒脂肪注射入眶下沟。对比两组就医者的术后情况、美观满意度以及术后并发症发生情况。结果:两组就医者的愈合情况以及随访时间比较差异无统计学意义(P>0.05);研究组就医者瞳孔到眼睑的距离、瞳孔到泪沟的距离以及泪槽宽度较对照组改善明显,且泪槽沟畸形等级量表(Tear trough rating scale,TTRS)评分低于对照组(P<0.05);1个月后研究组的美观满意度明显高于对照组(P<0.05);1个月后两组就医者出现血肿、睑外翻、肿胀等并发症的总发生率差异无统计学意义(P>0.05)。结论:在下睑成形术中进行微粒脂肪注射可安全有效地改善泪槽畸形,提高颜面部美观度。Objective To analyze the effect of microparticle fat injection on the width and aesthetics of lacrimal groove in patients after lower eyelid plasty.Methods A total of 80 patients with lacrimal trough deformity who were treated in the author's hospital from January 2022 to November 2022 were selected as the research subjects and divided into 40 cases(62 eyes)of the control group and 40 cases(59 eyes)of the research group according to the random number table.Patients in the control group received standard lower eyelid plasty,while patients in the study group collected the fat of the infraorbital septum during the operation.After lower eyelid plasty,the percutaneous microparticle fat was injected into the infraorbital groove.The postoperative conditions,aesthetic satisfaction and postoperative complications of the two groups were compared.Results There was no significant difference in healing condition or follow-up time between the two groups(P>0.05).The distance from pupil to eyelid,the distance from pupil to lacrimal groove and the width of lacrimal groove in patients of the study group were significantly improved than those of the control group,and the tear groove deformity rating scale(TTRS)score was lower than that of the control group(P<0.05).After 3 months,the aesthetic satisfaction of the study group was significantly higher than that of the control group(P<0.05).After 3 months,there was no significant difference in the total incidence of complications such as hematoma,ectropion and swelling between the two groups(P>0.05).Conclusion Microparticle fat injection during lower eyelid plasty can safely and effectively overcome lacrimal groove deformity and improve facial aesthetics.

关 键 词：泪槽畸形 下睑成形术 微粒脂肪注射 美观满意度 眼睑 

分 类 号：R779.6[医药卫生—眼科]