目的 :评估高能超脉冲CO2 激光经结膜内切口治疗眼袋的临床效果。方法 :在局麻下用高能超脉冲CO2 激光经结膜内切口治疗 38例眼袋 ,选用光斑大小为 0 .2mm ,具脉冲性 ,输出功率为 12～ 16W的激光。结果 :平均手术时间为12～ 15min ,所有病例术后无出血、皮下淤瘢、下睑外翻、流泪及感染等短期并发症。随访 3～ 6个月 ,其中 35例有满意的效果 ,3例不满意 ,其中有 1例两侧眼睑不对称 ,另 2例下睑皮肤仍有松弛皱纹存在。满意率达 94 .7%。结论 :高能超脉冲CO2 激光经结膜内切口治疗眼袋是一种简便、安全、可靠的方法 ,但是必须严格掌握适应证 :年轻的、下睑皮肤不松弛的下睑眼袋 Objective: To evaluate the clinical effect of high-energy ultra-pulsed CO2 laser for the treatment of under-under-the-eye bags through intra-conjunctival incision. Methods: Under local anesthesia, 38 cases of pouch underwent intracapsular incision with high-energy and ultra-pulsed CO2 laser. The laser spot size was 0.2 mm with pulsed output power of 12-16 W. Results: The average operation time was 12-15 minutes. All patients had no postoperative bleeding, subcutaneous scarring, lower eyelid valgus, tears and infection and other short-term complication. All the patients were followed up for 3 to 6 months, of which 35 had satisfactory results and 3 were unsatisfied. Among them, 1 patient had eyelid asymmetry on both sides and 2 patients had loose wrinkles on lower eyelid skin. Satisfaction rate of 94.7%. CONCLUSIONS: High-energy, ultra-pulsed CO2 laser is an easy, safe and reliable method for the treatment of under-the-eye pouches with intraconjunctival incision. However, indications must be strictly adhered to: young, lower eyelid pouch