眉下缘切口提升术联合重睑成形治疗中重度上睑皮肤松弛的美学效果观察  

Aesthetic Effect of Superciliary Lower Margin Incision Lifting Combined with Double Blepharoplasty in Moderate and Severe Upper Eyelid Skin Laxity

作　　者：王晓敏[1] 杨猛 刘波[1] 陈淼 WANG Xiaomin;YANG Meng;LIU Bo;CHEN Miao(Department of Plastic Surgery,Chinese Medicine Gezhouba Central Hospital,Third Clinical Medical College of Three Gorges University,Yichang 443000,Hubei,China;Plastic Clinic,Wuhan Jiangxin Tianqiao Medical Aesthetics,Wuhan 430000,Hubei,China)

机构地区：[1]三峡大学第三临床医学院国药葛洲坝中心医院整形科,湖北宜昌443000 [2]武汉匠歆天巧医疗美容整形门诊部,湖北武汉430000

出　　处：《中国美容医学》2024年第4期10-13,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察眉下缘切口提升术联合重睑成形治疗中重度上睑皮肤松弛的美学效果。方法:回顾性分析2020年10月-2022年10月在笔者医院治疗的62例上睑皮肤松弛患者临床资料,根据治疗方法不同分为联合治疗组(n=32)和眉下切口组(n=30),联合治疗组行眉下缘切口提升术联合重睑术,眉下切口组行眉下缘切口提升术,术后对患者进行随访,比较两组术后矫治效果,上睑缘至眉距离(The distance between the upper eyelid margin and the eyebrow,DEE)、睑裂宽度(The height of the palpebral fissure,HPF)、瞳孔中点睑缘与重睑距离(Middle pupil margin-fold distance,MPMFD)、角膜内侧睑缘与重睑距离(Medial corneal margin-fold distance,MCMFD)以及外眦处睑缘与重睑距离(Lateral canthus margin-fold distance,LCMFD)、上睑皱纹改善效果(Lemperle评分)、术后外观满意度、术后并发症发生率。结果:治疗后,联合治疗组DEE、HPF、MPMFD、MCMFD、LCMFD均高于对照组(P<0.05);治疗后,两组患者Lemperle评分均有所降低,但联合治疗组低于眉下切口组(P<0.05);治疗后,联合治疗组术后外观满意度96.88%高于眉下切口组76.67%(P<0.05);治疗后,联合治疗组与眉下切口组并发症发生率比较,差异无统计学意义(P>0.05)。结论:眉下缘切口提升术联合重睑成形治疗中重度上睑皮肤松弛,能够有效改善上睑松弛情况,减少上睑皱纹,且患者外观满意度较高。Objective To observe the aesthetic effect of superciliary lower margin incision lifting combined with double blepharoplasty in moderate and severe upper eyelid skin laxity.Methods A retrospective analysis was performed on the clinical data of 62 patients with upper eyelid skin laxity treated in the author's hospital between October 2020 and October 2022.According to different treatment methods,they were divided into combined treatment group(n=32)and superciliary lower incision group(n=30).The combined treatment group was given superciliary lower margin incision lifting combined with double blepharoplasty,while superciliary lower incision group was given superciliary lower margin incision lifting.All patients were followed up after surgery.The postoperative correction effect[the distance between the upper eyelid margin and the eyebrow(DEE),the height of the palpebral fissure(HPF),middle pupil margin-fold distance(MPMFD),medial corneal margin-fold distance(MCMFD),lateral canthus margin-fold distance(LCMFD)],improvement effect of upper eyelid wrinkles(Lemperle score),postoperative satisfaction with appearance and the incidence of postoperative complications in the two groups were compared.Results After treatment,DEE,HPF,MPMFD,MCMFD and LCMFD in combined treatment group were higher than those in superciliary lower incision group(P<0.05).After treatment,Lemperle score was decreased in both groups,which was lower in combined treatment group than superciliary lower incision group(P<0.05).After treatment,postoperative satisfaction with appearance in combined treatment group was higher than that in superciliary lower incision group(P<0.05).After treatment,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Superciliary lower margin incision lifting combined with double blepharoplasty can effectively improve upper eyelid laxity and reduce upper eyelid wrinkles in moderate and severe upper eyelid skin laxity,with higher patients satisfaction with appearance.

关 键 词：上睑皮肤松弛 眉下缘切口提升术 重睑成形术 美学效果 满意度 

分 类 号：R779.6[医药卫生—眼科]