双层瓦合眼轮匝肌肌瓣眼袋切除术80例临床体会  

Clinical experience of double-layer occlusion orbicularis oculi muscle flap pouchectomy:80 cases

作　　者：王新莲 杨文敬 张帅 WANG Xinlian;YANG Wenjing;ZHANG Shuai(Department of Cosmetic Surgery,Zibo Yimei Plastic Surgery Hospital,Shandong Province,255000,China)

机构地区：[1]淄博壹美整形美容医院美容外科,山东淄博255000

出　　处：《中国医疗美容》2024年第9期20-22,共3页China Medical Cosmetology

摘　　要：目的 探讨双层瓦合眼轮匝肌肌瓣眼袋切除术80例临床体会。方法 回顾性分析2022年5月至2023年5月淄博壹美整形美容医院收治的80例接受双层瓦合眼轮匝肌肌瓣眼袋切除术治疗的患者临床资料。分析手术效果、泪沟改善情况、生活质量、术后卧蚕形成情况及并发症。结果 80例患者手术治疗后显效48例、有效30例、无效2例,总有效率为97.50%(78/80);80例患者术后泪沟改善情况优于术前,差异有统计学意义(P<0.05);80例患者术后卧蚕形成63例,术后卧蚕形成率为78.75%(63/80);80例患者中出现切口红肿3例,感染1例,并发症发生率为5.00%(4/80)。结论 双层瓦合眼轮匝肌肌瓣眼袋切除术在眼袋整形中应用价值高,利于改善患者泪沟情况,术后卧蚕形成率高,且安全可行。Objective To explore the clinical experience of 80 cases of double layered orbicularis muscle flap eye bag resection.Methods A retrospective analysis was conducted on the clinical data of 80 patients who underwent double layered orbicularis muscle flap eye bag resection surgery at Zibo Yimei Plastic and Aesthetic Hospital from May 2022 to May 2023.Analyze surgical outcomes,improvement of tear troughs,quality of life,postoperative silkworm formation,and complications.Results After surgical treatment,48 out of 80 patients showed significant improvement,30 showed improvement,and 2 showed no improvement,with a total effective rate of 97.50%(78/80);The improvement of tear troughs in 80 patients after surgery was better than before surgery,with statistical differences(P<0.05);Among the 80 patients,63 cases of post operative silkworm formation occurred,with a postoperative silkworm formation rate of 78.75%(63/80);Out of 80 patients,there were 3 cases of incision redness and swelling and 1 case of infection,the incidence of complications is 5.00%(4/80).Conclusions The double-layer tile closure orbicularis muscle flap eye bag resection surgery has high application value in eye bag plastic surgery,which is conducive to improving the tear groove condition of patients,and has a high rate of postoperative silkworm formation,and is safe and feasible.

关 键 词：眼袋整形 双层瓦合眼轮匝肌肌瓣眼袋切除术 泪沟 并发症 

分 类 号：R779.6[医药卫生—眼科]