除皱手术在国内的历史演进及现况  

The odyssey of rhytidectomy surgery in China

作　　者：吴乐昊 王太玲 王佳琦 Wu Lehao;Wang Tailing;Wang Jiaqi(Department of Faciocervical Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院面颈整形科,北京100144

出　　处：《中华整形外科杂志》2024年第2期221-226,共6页Chinese Journal of Plastic Surgery

基　　金：中国医学科学院整形外科医院院所基金(YS202037)。

摘　　要：面颈部除皱手术是面部年轻化各种治疗手段中的一种。然而,就其涉及的面部解剖结构之多,临床操作过程之复杂多样,以及术后不可预知的风险之大而言,是一项极具挑战性的外科手术。西方发达国家的面部除皱手术始于20世纪初,手术旨在通过外科手段改善面颈部皮肤、筋膜、脂肪等组织所形成的衰老外观。我国面颈部除皱手术起步较晚,是由中国医学科学院整形外科医院宋业光教授等医学前辈于20世纪80年代末至90年代初率先拓荒。之后,一大批创业者承前启后,对我国面部除皱手术的系统化、规范化做出了重要贡献。在对面部老化机制、面颈部解剖和组织结构变化深入研究的基础上,我国的面部除皱手术经历了一个由简到繁、日渐完善的发展过程。再后来,经过对除皱手术长期效果的观察和手术方案的不断完善,又经历了一个由繁到减、日臻成熟的过程。该文通过回顾历年的文献,对我国面颈部除皱手术的发展历程进行了阶段性的概括和梳理。Facial rhytidectomy is one of the most complex and unpredictable procedures in the field of cosmetic and plastic surgery,aiming to rejuvenate the face.The facial rejuvenation surgery began in the early 20th century.The purpose of the surgery is to alleviate the aging characteristics of the skin,fascia,fat and other tissues of the face and neck by surgical means.In China,due to historical development and other factors,it started late.From the late 1980s to the early 1990s,Song Yeguang and other pioneers took the lead in venturing into this field.With the significant growth of the economy and the increasing attention from both medical professionals and marketing to cosmetic surgery,surgeons in this era have made substantial contributions to the systematic and standardized advancement of rhytidectomy surgery.However,with the understanding of the aging process of the face and the in-depth study of the changes in the anatomy and tissue structure of the face and neck,surgical techniques have evolved from simple to complex,and gradually improving over time.Through long-term observation of the surgical outcomes,the surgical technique has evolved from complex to simple.The purpose of this paper is to summarize the evolution of rhytidectomy in China by reviewing the literature from previous years.

关 键 词：面部年轻化 除皱手术 复合除皱 悬吊 浅表肌腱膜系统 进展 

分 类 号：R622[医药卫生—整形外科]