横切法内眦赘皮矫正术联合重睑成形术的临床应用  

Clinical application of the transverse incision technique for epicanthus correction combined with blepharoplasty

作　　者：刘丹丹 吴梦凡 徐祥文 崔永言[1] LIU Dandan;WU Mengfan;XU Xiangwen;CUI Yongyan(Department of Plastic Surgery,Peking University Shenzhen Hospital,Shenzhen 518036,China)

机构地区：[1]北京大学深圳医院整形外科,广东深圳518036

出　　处：《中国美容整形外科杂志》2024年第1期21-24,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：深圳市医学重点学科建设项目(SZXK026);北京大学深圳医院科研项目(LCYJ2020008)。

摘　　要：目的在横切法矫正内眦赘皮联合重睑成形术的基础上,探讨一种操作简化的手术方法。方法自2016年6月至2021年6月,北京大学深圳医院整形外科对273例双侧单睑合并内眦赘皮的患者,采用横切法内眦赘皮矫正术联合重睑成形术的方法进行矫正。在传统方法的基础上通过调整设计线及手术顺序,从而简化手术流程。观察术后内眦赘皮的矫正效果、重睑形态及患者满意度。结果273例患者获随访6~18个月。其中,257例重睑及内眦形态自然,弧度流畅,内眦充分开大,瘢痕隐蔽无增生,疗效好;9例重睑形态尚自然,内眦赘皮基本消失,内眦部分开大,内眦处可见轻微瘢痕,疗效良好;7例内眦瘢痕较为明显,重睑弧度双侧稍有差异,疗效差。有效率为97.44%。患者满意度评价非常满意248例,比较满意17例,不满意8例,满意率为97.07%。结论此方法操作简单省时,内眦赘皮矫正充分,创伤较小,恢复较快,瘢痕较小,联合重睑成形术,重睑形态自然,术后效果满意。Objective To discusse a more simplified operation method on the basis of the combined operation of blepharoplasty with transverse incision for correction of epicanthus.Methods From June 2016 to June 2021,273 patients with single-fold eyelids and epicanthus were treated by correction of epicanthus combined with blepharoplasty.The method of transverse incision medial canthoplasty combined with blepharoplasty was used.On the basis of traditional methods,the design line and operation sequence were adjusted to simplify the operation process.The correction effect of medial canthoplasty,the shape of double eyelids,and patient satisfaction after surgery were observed.Results Totally 273 patients were followed up for 6 to 18 months.In 257 patients,the epicanthus was fully corrected,the double eyelid was symmetrical and natural with inobvious scar.Basic correction of epicanthus was in 9 patients while the epicanthus was uncorrected in 7 patients.The efficiency rate was 97.44%.The patient satisfaction evaluation showed that 248 patients were very satisfied,17 patients were relatively satisfied,and 8 patients were dissatisfied,with a satisfaction rate of 97.07%.Conclusion The modified transverse incision epicanthoplasty combined with blepharoplasty is a simple and effective technique.The correction of epicanthus is adequate,with little trauma,short recovery time and satisfied scarring outcomes.The contour of double-eyelid is natural and the postoperative outcome is satisfactory.

关 键 词：内眦赘皮 横切法 重睑成形术 

分 类 号：R779.6[医药卫生—眼科]