摘要
目的:观察A型肉毒毒素联合眉下切口矫治上睑松弛和鱼尾纹的临床效果。方法:选择2016年5月-2019年4月上睑松弛(轻度:28例,中度:39例)伴鱼尾纹(Ⅱ型:7例,Ⅲ型:12例,Ⅳ型:48例)67例就医者,均采用A型肉毒毒素联合眉下切口上睑松弛整复术治疗。采用双盲法,根据中国女性鱼尾纹分级标准进行评分比较,并观察其治疗效果。结果:术后随访3~8个月,失访4例,其余就医者症状均得到矫正,皮肤松弛和鱼尾纹明显改善,就医者表示满意;就医者治疗后6个月鱼尾纹评分(2.905±0.756)分低于治疗前(5.873±1.301)分,差异具有统计学意义(t=26.794,P<0.01)。结论:A型肉毒毒素联合眉下切口矫正上睑松弛和鱼尾纹的临床疗效明显,尤其是对于轻、中度上睑松弛伴动力性鱼尾纹就医者,术后就医者并发症少、恢复快、满意率高,值得推广应用。
Objective To investigate clinical effect of botulinum toxin A combined with subbrow blepharoplasty on correction of upper eyelid relaxation and crow’s feet.Methods From May 2016 to April 2019,67 patients with upper eyelid relaxation (28 cases with mild relaxation and 39 cases with moderate relaxation)and crow’s feet (7 cases with type Ⅱ,12 cases with type Ⅲ,48 cases with type Ⅳ) were treated with botulinum toxin A combined with subbrow blepharoplasty.In accordance with the classification standard of Chinese female crow’s feet pattern,using double-blind method,the patients were scored before and after treatment,and the therapeutic effect was evaluated.Results All patients were followed up for 3 to 8 months,4 cases lost to follow-up.Satisfyingly,the upper eyelid relaxation and crow’s feet of the patients got improved after treatment.At 6 months after treatment,the score of crow’s feet (2.905±0.756) was lower than that before treatment (5.873±1.301),the difference was statistically significant (t=26.794,P<0.01).Conclusion Combination of botulinum toxin A with subbrow blepharoplasty demonstrated obvious correcting effect on upper eyelid relaxation and crow’s feet,especially in the light and moderate upper eyelid relaxation with dynamic crow’s feet.Given its quick recovery,less complications and high satisfaction from patients,it is worth popularizing.
作者
徐爽
高亮
李俊岑
陈晶
税文祥
卢尚兵
康春雨
XU Shuang;GAO Liang;LI Jun-cen;CHEN Jing;SHUI Wen-xiang;LU Shang-bing;KANG Chun-yu(Wuhou Chinese Medical Association Liyuan Medical and Beauty Clinic,Chengdu 610000,Sichuan,China;Department of Plastic Surgery,Milan Bavii Medical Aesthetic Hospital,Chengdu 610000,Sichuan,China)
出处
《中国美容医学》
CAS
2020年第1期1-4,共4页
Chinese Journal of Aesthetic Medicine
关键词
上睑松弛
A型肉毒毒素
眉下切口
鱼尾纹
upper eyelid relaxation
botulinum toxin A
subbrow blepharoplasty
crow’s feet
