三弧形埋线法中面部提升术的临床效果及安全性分析  

Clinical effect and safety of triple-arc buried thread in facial rejuvenation

作　　者：奚荻 林金德[1] 于雷 高侠[1] Xi Di;Lin Jinde;Yu Lei;Gao Xia(Department of Plastic Surgery,Friendship Plastic Surgery Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学友谊整形外科医院整形外科,南京210029

出　　处：《中华医学美学美容杂志》2024年第6期588-592,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨三弧形埋线法中面部提升术的临床效果及安全性。方法回顾性纳入2018年5月至2021年5月南京医科大学友谊整形外科医院接受三弧形埋线法中面部提升术患者55例,其中男1例,女54例,年龄28~55(37.9±7.2)岁。患者取站立位或坐位,中面部标记走线途径及进针点、出针点,第1条安全线从眼尾至耳垂,第2条安全线沿鼻动脉外侧与鼻垂直;美学线沿口角向外平行延长2 cm。用2%利多卡因肾上腺素溶液于标记的进针点和出针点行局部浸润麻醉,再沿设计好的走线方位行皮下隧道浸润麻醉。将3根双向倒刺可吸收线于中面部弧形走行,将颧脂肪垫复位。在术后即刻及术后1、6、12个月进行随访,评估患者满意度。记录患者皱纹严重程度量表(WSRS)评分,评估患者鼻唇沟外观。记录患者术后血肿、紧绷、两侧不对称、露线等并发症发生率。结果55例患者术后即刻均获得明显的中面部提升效果,外形饱满,鼻唇沟变浅。术后即刻及术后1、6、12个月随访率分别为100.0%(55/55)、100.0%(55/55)、94.6%(52/55)、89.1%(49/55),患者满意率分别为98.2%(54/55)、98.2%(54/55)、98.2%(54/55)、98.2%(54/55)。55例患者术前WSRS评分为3(2,4)分,术后即刻为2(1,3)分,差异有统计学意义(P<0.001)。所有患者术后均无明显血肿、紧绷、两侧不对称、露线等并发症。2例患者于术后24 h内出现两侧面颊部明显瘀斑,术后3周自行缓解,1个月后面部外观及咀嚼功能基本恢复正常。1例患者出针点局部窝状凹陷,术后11个月自行恢复。结论三弧形埋线法中面部提升术安全有效,并发症少。ObjectiveTo investigate the clinical efficacy and safety of the triple-arc buried wire method for facial lift surgery.MethodsThis study retrospectively included 55 patients who underwent facial lift surgery using the triple-arc buried wire method at Nanjing Medical University Friendship Plastic Surgery Hospital from May 2018 to May 2021,and consisted of 1 male and 54 females,with an age range of 28 to 55(37.9±7.2)years.Patients were positioned either standing or sitting,with markings made for the suture pathways,entry points,and exit points.The first safety line extended from the outer canthus of the eye to the earlobe,while the second safety line followed the lateral aspect of the nasal artery to form a vertical line with the nose;the aesthetic line was drawn extending 2 cm outward from the oral commissure.Local infiltration anesthesia with a 2%lidocaine and epinephrine solution was applied at the marked entry and exit points,followed by subcutaneous tunnel infiltration anesthesia along the designed suture pathway.Three dual-direction barbed absorbable sutures were deployed in an arc along the midface,repositioning the malar fat pads.Postoperative follow-ups were conducted immediately after surgery and at 1,6,and 12 months to assess patient satisfaction.The wrinkle severity rating scale(WSRS)was recorded to evaluate the appearance of the nasolabial folds.The incidence of postoperative complications such as hematoma,tightness,asymmetry,and exposed sutures was also documented.ResultsAll 55 patients experienced significant midface lifting effects immediately after surgery,resulting in a fuller appearance and shallower nasolabial folds.The follow-up rates immediately postoperatively and at 1,6,and 12 months were 100.0%(55/55),100.0%(55/55),94.6%(52/55),and 89.1%(49/55);patient satisfaction rates were 98.2%(54/55),98.2%(54/55),98.2%(54/55),and 98.2%(54/55),respectively.The preoperative WSRS score for the 55 patients was 3(2,4),while the score at immediately after surgery was 2(1,3),indicating a statistically signifi

关 键 词：面部 颧脂肪垫 埋线提升 悬吊线 除皱术 弧度 

分 类 号：R62[医药卫生—整形外科]