眼轮匝肌-提上睑肌腱膜与真皮眼轮匝肌瓣用于重睑术中的效果  

The effect of using the orbicularis oculi muscle levator palpebralis aponeurosis and dermal orbicularis oculi muscle flflap in double eyelid surgery

作　　者：汪翠梅 梁红伟 陶冶 王剑 WANG Cui-mei;LIANG Hong-wei;TAO Ye;WANG Jian(Plastic surgery,Zhengzhou People's Hospital,Henan Province,450003,China)

机构地区：[1]郑州人民医整形外科,河南郑州450003

出　　处：《中国医疗美容》2024年第5期1-3,共3页China Medical Cosmetology

摘　　要：目的探究眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术应用价值。方法选择2021年1月~2023年12月96例需重睑术患者为研究者,均给予眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术,分析比较美学效果、术后并发症以及患者满意度。结果术后1个月、术后3个月患者瘢痕状况、重睑形态与术后7d比较均更低(P<0.05);术后有1例患者发生重睑褶皱不对称,2例患者发生肉条/阶梯感,发生率为3.12%;术后3个月经调查切口甲级愈合率为97.92%,患者满意度为95.83%。结论眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术可降低并发症发生概率,改善美学效果,提高切口甲级愈合率及患者满意度,值得推广。Objective Exploring the application value of the composite flap of orbicularis oculi muscle levator palpebrae aponeurosis and dermal orbicularis oculi muscle for internal fifixation of double eyelids.Methods A total of 96 patients who underwent double eyelid surgery from January 2021 to December 2023 were selected as the researchers.All patients underwent double eyelid surgery with the combination of orbicularis oculi muscle levator palpebralis aponeurosis and dermal orbicularis oculi muscle composite flflap.The aesthetic effects,postoperative complications,and patient satisfaction were analyzed and compared.Results The scar condition and double eyelid morphology of patients were lower at 1 month and 3 months after surgery compared to 7 days after surgery(P<0.05);After surgery,one patient developed asymmetrical double eyelid folds,and two patients developed a sensation of flflesh streaks/stairs,with an incidence rate of 3.12%;The grade A healing rate of the incision was 97.92%and the patient satisfaction rate was 95.83%after 3 menstrual surveys after surgery.Conclusion The internal fifixation of double eyelids using the composite flflap of the orbicularis oculi muscle levator palpebrae aponeurosis and dermis orbicularis oculi muscle can reduce the probability of complications,improve aesthetic effects,increase the rate of incision grade A healing and patient satisfaction,and is worthy of promotion.

关 键 词：眼轮匝肌 提上睑肌腱膜 真皮眼轮匝肌 复合瓣 内固定重睑术 美学效果 满意度 

分 类 号：R779.6[医药卫生—眼科]