下睑袋整形术后睑外翻的预防  

Prevention of Eyelid Ectropion Following Lower Eyelid Blepharoplasty

作　　者：胡亚兰[1] 寻丽彬[1] 刘丽平[1] 胡亚欣[2] 徐燕[1] 翟小颖[1] 

机构地区：[1]解放军260医院整形外科,石家庄050041 [2]河北省老年病医院,石家庄050000

出　　处：《白求恩军医学院学报》2004年第1期14-15,共2页Journal of Bethune Military Medical College

摘　　要：目的　预防下睑袋整形术后睑外翻和下睑凹陷等并发症。方法　术中保留适量眶脂肪并充填眶下缘 ,缩紧眼轮匝肌 ,以加强下睑的支撑力。结果　本组 5 2例 ,4 0例获随访 6个月至 3年 ,除 1例因皮下血肿引起轻度睑外翻外 ,其余均获得满意效果。结论　综合方式行下睑袋整形术 ,可提高手术效果。Objective To prevent lower eyelid pouches and ectropion following lower eyelid blepharoplasty.Methods Since 1996,52 patients with lower eyelid bag were treated with comprehensive techniques.The orbitalis fat was preserved and advanced beyond the infraorbital rim during the operation.Wedge shaped excision of the orbicularis oculi muscle flap was tightened or fixed to superior lateral direction. Results A total of 40 patients were carried out follow up for 6 months to 3 years.Of them one patient developed unilateral reversible lower eyelid ectropion due to subcutaneous hematoma.The rest obtained satisfactory cosmetic results and without complications. Conclusion The method can improve the result of operation.

关 键 词：下睑袋 眶脂肪 眼轮匝肌 睑外翻 

分 类 号：R777.1[医药卫生—眼科]