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改良肌皮瓣法结合眶隔固定术进行眼袋整形的临床效果

Clinical effect and satisfaction analysis of modified myocutaneous flap combined with orbital fiseptum fixation for pouch plastic surgery
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摘要 目的分析眼袋整形中应用改良肌皮瓣法结合眶隔固定术的临床效果。方法研究对象为2020年3月-2022年4月在台州市椒江微微凯医疗美容门诊部接受眼袋整形的对照组和研究组患者各33例。对照组接受传统肌皮瓣法治疗,观察组行改良肌皮瓣法结合眶隔固定术治疗,对两组的临床治疗效果、手术前后眼部指标、并发症和满意度等进行比较。结果观察组治疗总有效率(96.97%)高于对照组(78.79%);睑袋程度和下睑皱纹评分(1.02±0.11分、3.00±0.15分)低于对照组(1.56±0.15分、4.23±0.36分),皮肤美观度(8.56±1.33分)高于对照组(7.45±1.03分);治疗时间和恢复时间(7.23±1.33 d、30.23±2.36d)短于对照组(8.58±1.56 d、35.56±2.45 d);并发症发生率(6.06%)低于对照组(24.24%);满意度(96.97%)高于对照组(75.76%);数据对比差异均有统计学意义(P<0.05)。结论改良肌皮瓣法结合眶隔固定术应用在眼袋整形中可以明显提高手术效果,降低并发症,并提升患者术后满意度,是一种值得推广的手术方法。 Objective To analyze the effffect and value of modifified myocutaneous flflap combined with orbital septum fifixation in the plastic treatment of pouch.Methods 66 patients with pouch plastic surgery in our hospital from March 2020 to April 2022 divided into observation group and control group,with 33 in each group.Patients in control group were treated with traditional myocutaneous flflap,and patients in observation group were treated with modifified myocutaneous flflap and orbital septum fifixation.The clinical effifficacy,preoperative and postoperative eye indicators,complications and satisfaction between the two groups were compared.Results The observation group showed a significant increase in the total response rate(96.97%)compared to the control group(78.79%);The degree of eyelid pouch and lower eyelid wrinkle score(1.02±0.11 points,3.00±0.15 points)were lower than the control group(1.56±0.15 points,4.23±0.36 points),The skin aesthetics(8.56±1.33 points)was higher than the control group(7.45±1.03 points);Treatment duration and recovery time(7.23±1.33d,30.23±2.36d)were shorter than the control group(8.58±1.56d,35.56±2.45d);Complications(6.06%)were lower than the control group(24.24%);The satisfaction rate(96.97%)was much higher than the control group(75.76%);The data differences were statistically significant(P<0.05).Conclusion The modified myocutaneous flap method combined with orbital septum fixation can significantly improve the surgical effect,reduce complications,and improve patients'postoperative satisfaction,which is a worthy surgical method.
作者 李坤 张立建 张勇 陈巍 LI Kun;ZHANG Li-jian;ZHANG Yong;CHEN Wei(Cosmetic surgery,Taizhou Jiaojiang Weiweikai Medical Beauty Clinic,Zhejiang Province,318013,China;Plastic Surgery and Beauty Center of the First Affiffiliated Hospital of Zhejiang University School of Medicine,Zhejiang Province,310003,China)
出处 《中国医疗美容》 2024年第2期8-11,共4页 China Medical Cosmetology
关键词 眼袋整形 改良肌皮瓣法 眶隔固定术 临床疗效 并发症 满意度 Pouch plastic surgery Modified myocutaneous flap Orbital septum fixation Clinical effect Complication Satisfaction
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