生物力学原理在重睑术后重睑线不显修复中的应用效果  

Effect of biomechanics principle on the repair of double eyelid disappearance after blepharoplasty

作　　者：尹康[1] 吴国平[1] 上官文松 王树 胡超 卢通 高升 赵利平[1] Yin Kang;Wu Guoping;Shangguan Wensong;Wang Shu;Hu Chao;Lu Tong;Gao Sheng;Zhao Liping(Department of Plastic and Cosmetic Surgery,Friendship Plastic Surgical Hospital,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603-605,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨生物力学原理在重睑术后重睑线不显修复中的应用效果。方法回顾性纳入2018年7月至2022年12月南京医科大学友谊整形外科医院整形外科收治的重睑术后重睑线不显患者47例,其中女46例,男1例,年龄19~42(28±8)岁。通过增加重睑形成的动力、削弱重睑形成的阻力进行重睑修复,并采用Face-Q量表评估手术前后眼部外观满意度、心理健康和社会功能变化。结果随访3~24个月,47例患者术后重睑形态明显。其中有2例出现双侧重睑不对称,1例出现多重睑,再次手术调整后,效果均满意。其余患者重睑形态自然流畅,闭眼切口无明显凹陷性瘢痕,效果满意。47例患者眼部总体外观满意度、心理健康和社会功能评分在术前分别为(38.7±9.3)、(54.8±10.5)、(52.3±8.7)分,术后3个月分别为(69.5±10.3)、(75.5±13.6)、(68.3±11.3)分,均较术前提高(均P<0.05)。结论应用生物力学原理指导重睑术后重睑线不显的修复可取得有效且可靠的效果。ObjectiveTo explore the application of biomechanics principle in the repair of double eyelid disappearance after blepharoplasty.MethodsA retrospective analysis was performed on 47 patients(46 females and 1 male)with double eyelid disappearance after blepharoplasty in the Department of Plastic and Cosmetic Surgery,Friendship Plastic Surgical Hospital from July 2018 to December 2022.The patients aged from 19-42(28±8)years.The repair surgery was performed by increasing the mechanical factors that promoted the double eyelid formation or weakening the mechanical factors that inhibited the double eyelid formation.The overall satisfaction with ocular appearance,and psychological well-being and social function were evaluated with the Face-Q qustionnaires before or after operation.ResultsBy following-up for 3-24 months,the morphology of upper eyelids in all 47 patients were remarkably improved.2 patients complained about asymmetry and 1 patient had multiple creases,for whom satisfactory results achieved after re-operation.The remaining patients presented smooth natural double eyelid line,and concave groove deformity when eyes closed were not noticed.The operative effects were satisfactory.After surgery,the scores for ocular satisfaction with facial appearance,psychological well-being and social function were(69.5±10.3),(75.5±13.6)and(68.3±11.3)scores,which were significantly increased than those before operation[(38.7±9.3),(54.8±10.5)and(52.3±8.7)scores],respectively(all P<0.05).ConclusionMore effective and reliable operation results can be obtained in the repair strategies of double eyelid disappearance after blepharoplasty by utilizing the biomechanical mechanism.

关 键 词：重睑 修复 生物力学 并发症 

分 类 号：R779.6[医药卫生—眼科]