皮下与结膜下之间连续梯形缝合埋线法重睑成形术  

Continuous trapezoidal suture method between subcutaneous and subconjunctival tissue in buried-suture double-eyelid blepharoplasty

作　　者：都兴隆 陈红 董子迎 Du Xinglong;Chen Hong;Dong Ziying(Department of Plastic and Aesthetic Surgery,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266011,China)

机构地区：[1]康复大学青岛医院(青岛市市立医院)整形美容科,青岛266011

出　　处：《中华整形外科杂志》2024年第11期1215-1220,共6页Chinese Journal of Plastic Surgery

摘　　要：目的探讨皮下与结膜下之间连续梯形缝合埋线法重睑成形术的临床应用效果。方法回顾性分析2021年9月至2023年9月于青岛市市立医院整形美容科行皮下与结膜下之间连续梯形缝合埋线法重睑成形术患者的临床资料。在患者上睑皮肤重睑设计线上标记6个点,在对应结膜面标记8个点,用6-0带针尼龙线从皮肤面最内侧点开始连续穿行于皮下组织层与结膜下组织层之间,形成"梯形"走行路线,最后从皮肤面最外侧点穿出并打结于眼轮匝肌内。术后对重睑形态和并发症情况进行观察和随访,时间不少于6个月,末次随访时由患者本人对手术效果进行满意度评价,包括重睑弧度、宽度、流畅性和对称性4项,每项为0~5分,总分0~20分,评分17~20分为满意,13~16分为比较满意,≤12分为不满意。结果共纳入52例患者,均为女性;年龄18~29岁,平均22.5岁;重睑线过浅33例,单睑19例,上睑菲薄且无明显松弛。所有患者手术过程顺利,手术时间为(0.72±0.13)h。术后即刻,双侧重睑弧度流畅,重睑宽度基本对称。随访6~12个月,所有患者重睑形态相对自然逼真,重睑线和重睑宽度保持稳定,切口瘢痕不明显,未出现上睑下垂、上睑闭合不全及上睑外翻等并发症。52例患者中45例对手术效果满意,7例比较满意,均未要求再次手术调整。结论应用皮下与结膜下之间连续梯形缝合埋线法行重睑成形术,手术时间短,术后重睑形态自然逼真,效果稳定,且并发症少,患者满意度高。Objective To explore the surgical effects of continuous trapezoidal suture method between subcutaneous and subconjunctival tissue in buried-suture double-eyelid blepharoplasty.Methods A retrospective study was conducted on patients who underwent the operation of continuous trapezoidal suture method between subcutaneous and subconjunctival tissue in buried-suture double-eyelid blepharoplasty at the Department of Plastic and Aesthetic Surgery of Qingdao Municipal Hospital from September 2021 to September 2023.Six points were marked on the skin surface along the designed double eyelid line on patient’s upper eyelid,8 points were marked on the corresponding conjunctival surface along the designed double eyelid line.A 6-0 nylon thread attached with one needle on each end was used for suturing,with two ends running through and between the subcutaneous and subconjunctival layers alternatively,forming a"trapezoidal"shape of path.Finally,two ends exited at the same point on the most lateral side of the designed double eyelid line on skin surface and were tied together with the knot hidden within the orbicularis oculi muscle.The morphology of the double eyelids and postoperative complications were observed and evaluated after surgery,the follow-up period was at least 6 months.At the last time of follow-up,the satisfaction rates were evaluated by patients themselves.Four aspects of the surgical effects of the double eyelids were put into the evaluation system,which were radian,width,smoothness and symmetry,with score from 0-5 points for each.The total score was 0-20 points,of which 17-20 points indicated high satisfaction,13-16 points indicated relative satisfaction,≤12 points indicated dissatisfaction.Results A total of 52 female patients were included,aged 18 to 29 years old,with an average age of 22.5 years.Among all patients,33 cases had shallow double eyelid lines while 19 cases had single eyelids.All patients’upper eyelids were relatively thin and without obvious looseness.The surgical procedures were all done s

关 键 词：眼睑成形术 埋线法重睑成形术 连续梯形缝合法 皮下组织 眼轮匝肌 上睑提肌腱膜 

分 类 号：R779.6[医药卫生—眼科]