摘要
目的探讨一种恢复期短,损伤轻,维持时间稳定,形态自然的重睑手术方法;方法自2021年12月至2022年12月收集76例重睑就医者,按不同的手术方法,将上睑皮肤组织较薄,松弛不明显的分为观察组38例,另将上睑皮肤松弛较明显的分为对照组38例。观察组采用保留眼轮匝肌的小切口重睑成形术,对照组采用传统的切开重睑成形术。结果观察组重睑切口长度、重睑手术时间、重睑切口愈合时间均明显低于对照组,差异对比有统计学意义(P<0.05)。观察组术后重睑形态评分、皮肤感觉评分和皮肤完整度及颜色评分均高于对照组,并发症低于对照组,差异对比有统计学意义(P<0.05)。结论保留眼轮匝肌的小切口重睑成形术因组织损伤少,血液循环及淋巴循环建立快,因此恢复期短,效果稳定,自然度高,满意率也较高,值得临床推广。
Objective To explore a natural blepharoplasty surgery method with short recovery period,light injury,stable maintenance time.Methods From December 2021 to December 2022,76 patients with double eyelids,according to different surgical methods,were divided into observation group(38 cases,with thinner upper eyelid skin tissue and less obvious relaxation)and control group(38 cases,with more obvious relaxation).The observation group was treated with small incisional blepharoplasty with a small incision preserving orbicularis oculi muscle,and the control group was treated with traditional incisional blepharoplasty.The postoperative recovery of the two groups was recorded.After 6 months of follow-up,the double eyelid aesthetics score was used to evaluate the double eyelid aesthetics of the two groups.Results The effective rate of the observation group was 94.73%,which was significantly higher than that of the control group(78.94%),and the difference was statistically significant(P<0.05).The length of double eyelid incision,the time of double eyelid surgery,and the healing time of double eyelid incision in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The morphological score,skin sensory score,skin integrity and color score of the observation group were higher than those of the control group,the complications were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Small incision blepharoplasty with preservation of orbicularis oculi muscle is worthy of clinical promotion due to less tissue damage and fast establishment of blood circulation and lymphatic circulation,so the recovery period is short,the effect is stable,the naturalness is high,and the satisfaction rate is also high.
作者
刘凤华
程爱花
杜迎
王璟
LIU feng-hua;CHENG ai-hua;DU ying;WANG Jing(Cosmetic Plastic Surgery Department,Jinan Mingshui Eye Hospital,Shandong Province,250200,China)
出处
《中国医疗美容》
2024年第3期1-5,共5页
China Medical Cosmetology
关键词
小切口重睑术
传统切开法
眼轮匝肌
微创
自然
Double eyelid with small incision
Double eyelid with small incision
orbicularis oculi muscle
minimally invasive
naturally
