高频超声观察青年人群眼轮匝肌解剖分布的初步研究  

Preliminary study on anatomical distribution of orbicularis oculi muscle in young population observed by high-frequency ultrasound

作　　者：魏宜霖 胡志文 钱胜林 杨毓雯 WEI Yilin;HU Zhiwen;QIAN Shenglin;YANG Yuwen(Department of Ultrasound Medicine,the Second Affiliated Hospital,School of Medicine,South China University of Technology(Guangzhou First People’s Hospital),Guangzhou 510180,China;Department of Burn Plastic Surgery and Wound Repair,the Second Affiliated Hospital,School of Medicine,South China University of Technology(Guangzhou First People’s Hospital),Guangzhou 510180,China)

机构地区：[1]华南理工大学附属第二医院(广州市第一人民医院)超声医学科,广东广州510180 [2]华南理工大学附属第二医院(广州市第一人民医院)烧伤整形美容与创面修复科,广东广州510180

出　　处：《广州医药》2024年第12期1430-1436,共7页Guangzhou Medical Journal

基　　金：广州市卫生健康科技项目(20221A011010)。

摘　　要：目的 应用高频超声观察眼轮匝肌的解剖信息和动态特征,探究肉毒毒素注射前超声评估的可行性,为个体化、精准化的治疗提供可能,以实现更加安全、更加高效的治疗效果。方法 采用高频超声获取40名20~30岁健康志愿者的双侧80条眼轮匝肌的长轴、短轴切面声像图,观察其全程形态、内部回声,并测量外眦水平眼轮匝肌最外侧缘与外眦之间的距离、外眦水平眼轮匝肌最厚处的前后径、外眦水平眼轮匝肌最厚处与表皮之间的距离,并对数据进行统计学分析。结果 高频超声可以清晰地显示眼轮匝肌全程的走形和整体肌束结构。微笑时可见外眦外侧的眼轮匝肌向内收缩,并出现不同程度的增厚。男性和女性外眦水平眼轮匝肌最外侧缘与外眦之间的距离分别为左侧(27.50±2.58)(25.32±2.17)mm,右侧(27.35±2.15)(25.11±2.08)mm;外眦水平眼轮匝肌最厚处的前后径分别为左侧(1.055±0.209)(0.770±0.172)mm,右侧(1.010±0.171)(0.775±0.162)mm;外眦水平眼轮匝肌最厚处与表皮之间的距离分别为左侧(2.450±0.274)(2.860±0.375)mm,右侧(2.430±0.252)(2.825±0.424)mm。上述3种指标在左右侧对比差异无统计学意义(P>0.05)。与男性对比,女性外眦水平皮下组织较厚、眼轮匝肌较薄,其最外侧缘与外眦之间的距离较短(P<0.05)。结论 高频超声为观察青年人群眼轮匝肌结构的有效影像学工具,可用于肉毒毒素注射前的面部评估。Objective To observe the anatomical information and dynamic characteristics of the orbicularis oculi muscle by high-frequency ultrasound,to explor the feasibility of ultrasound evaluation before botulinum toxin injection,and to provide the possibility for personalized and precise treatment to achieve safer and more efficient therapeutic effects.Methods High frequency ultrasound was used to obtain long axis and short axis sectional ultrasound images of 80 bilateral orbicularis oculi muscles from 40 healthy volunteers aged 20-30.The overall morphology and internal echoes were observed,and the distance between the outermost edge of the orbicularis oculi muscle and the outer canthus,the anterior posterior diameter of the thickest part of the orbicularis oculi muscle at the outer canthus level,and the distance between the thickest part of the orbicularis oculi muscle and the epidermis at the outer canthus level were measured.Statistical analysis was performed on the data.Results High frequency ultrasound can clearly display the entire course of the orbicularis oculi muscle and the overall muscle bundle structure.When smiling,the orbicularis oculi muscle on the outer side of the outer canthus can be seen to contract inward and show varying degrees of thickening.The distance between the outermost edge of the orbicularis oculi muscle and the outer canthus of males and females were(27.50±2.58)(25.32±2.17)mm on the left side and(27.35±2.15)(25.11±2.08)mm on the right side,respectively.The anterior posterior diameters of the thickest part of the orbicularis oculi muscle at the level of the outer canthus were left(1.055±0.209)(0.770±0.172)mm and right(1.010±0.171)(0.775±0.162)mm,respectively.The distance between the thickest part of the orbicularis oculi muscle at the level of the outer canthus and the epidermis were(2.450±0.274)(2.860±0.375)mm on the left side and(2.430±0.252)(2.825±0.424)mm on the right side.There was no statistically significant difference in the comparison of the above three indicators on the

关 键 词：高频超声 青年人群 眼轮匝肌 肉毒毒素 

分 类 号：R445.1[医药卫生—影像医学与核医学]