连续埋线法与切开法重睑成形术矫正先天性单侧单睑的临床效果比较  

Comparison of clinical efficacy between double eyelid blepharoplasty with continuous buried suture technique and incision method in correcting congenital unilateral single eyelid

作　　者：孟湉 黄渭清[1] 戚征[1] 单梦洁 梁铮韵 郝岩 宋可新[1] 王友彬[1] MENG Tian;HUANG Weiqing;QI Zheng;SHAN Mengjie;LIANG Zhengyun;HAO Yan;SONG Kexin;WANG Youbin(Department of Plastic and Cosmetic Surgery,Peking Union Medical College Hospital of the Chinese Academy of Medical Sciences,Beijing 100032,China)

机构地区：[1]中国医学科学院北京协和医院整形美容外科,北京100032

出　　处：《中国美容整形外科杂志》2024年第1期18-20,24,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的比较连续埋线法与切开法重睑成形术对先天性单侧单睑的矫正效果。方法回顾性分析自2016年10月至2022年10月,中国医学科学院北京协和医院整形美容外科收治的24例先天性单侧单睑患者,11例采用连续埋线法重睑成形术矫正(连续埋线组),13例采用切开法重睑成形术矫正(切开组)。术前评估患者上睑特点,术后随访记录手术并发症情况,并调查患者满意度。结果24例患者中,21例(连续埋线组10例,切开组11例)获随访3~60个月,平均9.6个月。两组均无并发症发生。问卷调查结果显示:连续埋线组患者自觉水肿消退时间为2~6 d,平均4 d,均无眼周淤青情况,无瘢痕形成;主观体验良好,术后恢复较快;非常满意9例(90%),满意1例(10%)。切开组患者自觉水肿、淤青7~60 d消退,平均20 d;主观体验较好,但普遍反映恢复期较长,重睑形态欠自然,存在线状瘢痕;非常满意7例(64%),满意3例(27%),感觉一般1例(9%)。结论在先天性单侧单睑的矫正中,连续埋线法重睑成形术尤其适用于无明显皮肤松弛、上睑臃肿,无需去皮、去脂的患者,具有简便、安全、创伤较小、恢复较快,皮肤切口无瘢痕等优势,美学效果较好;对于上睑皮肤有较明显松弛、软组织臃肿,需同时矫正内眦赘皮等情况,切开法重睑成形术更为适用。Objective To compare the therapeutic efficacy between double eyelid blepharoplasty with continuous buried suture technique and incision method in patients with congenital unilateral single eyelid.Methods A retrospective analysis was carried out focusing on the case data of patients with congenital unilateral single eyelid who were treated by the author from October 2016 to October 2022.The patients were divided into two groups depending on the surgical methods:one group underwent double eyelid blepharoplasty with continuous buried suture technique(continuous suture group),and the other group received incision method(incision group).Before surgery,the upper eyelid features were analyzed.Postoperatively,surgical complications were followed up and recorded,and patient satisfaction was investigated.Results Of the 24 patients,21(including 10 in the continuous buried suture group and 11 in the incision group)were followed up for 3 to 60 months(mean 9.6 months).No complications occurred in both groups.The satisfaction investigation showed a self-perceived edema regression time of 2 to 6 d(an average of 4 d)in the continuous buried suture group,without periocular bruisingor scar formation.The patients had good subjective experience and rapid postoperative recovery.Nine(90%)patients were very satisfied and 1(10%)was satisfied.In the incision group,the self-perceived edema and bruising regression time was 7 to 60 d,with an average of 20 d.The subjective experience of the patients was good,but they generally reflected a long recovery period and an unnatural double eyelid shape with linear scar.Seven(64%)patients were very satisfied and three(27%)were satisfied,and 1(9%)felt a moderate effect.Conclusion In the correction of the congenital unilateral single eyelid,double eyelid blepharoplasty with continuous buried suture technique is especially suitable for cases without obvious skin laxity,upper eyelid swelling,or need for skin and fat removal.It has the advantages of simple operation,high safety,minimal invasion,rapid reco

关 键 词：重睑成形术 上睑 单睑 连续埋线法 切开法 

分 类 号：R779.6[医药卫生—眼科]