论文部分内容阅读
目的:探讨眼轮匝肌成形术在松弛型眼袋修复术的效果。方法:2018年10月至2019年9月，四川省人民医院整形外科门诊收治松弛型眼袋患者32例，男6例、女26例，年龄31~60岁，平均48.5岁。对32例患者行皮肤入路眼袋修复，通过眼轮匝肌成形，重塑眼轮匝肌环形强度及形态。通过术前术后Barton分级及评分，术后并发症以及术后患者满意度量表进行满意度分析，评估该术式安全性、有效性、稳定性。结果:32例患者术后无感染，均一期愈合。术后出现瘀斑2例，出现眼部异物感3例，无出现感染、下睑退缩、下睑外翻、球后血肿者。32例患者Barton评分术前为(1.88±0.49)分，术后为(0.53±0.51)分，差异有统计学意义(n t＝15.75，n P<0.05)。术后患者非常满意25例，占78.12%；基本满意7例，占21.88%。n 结论:眼轮匝肌成形术使下睑缘重现饱满外形，外形得到较大程度的改善；手术针对性强、操作简易、并发症少，术后远期效果较理想。“,”Objective:To investigate the clinical application and effect of orbicularis oculi muscle shaping in lower blepharoplasty.Methods:A retrospective analysis was performed on the clinical data of 32 cases of flabby blepharoplasty patients admitted to the Orthopedic Surgery Clinic of Sichuan people＇s Hospital from October 2018 to September 2019. At the same time of transcutaneous blepharoplasty, 32 patients were treated with orbicularis oculi muscle shaping to remove the relaxed orbicularis oculi muscle, to reconstruct the annular strength and shape of the orbicularis oculi muscle, to strengthen the supporting structure of the lower eyelid, to reset the relationship between the external canthus orbicularis muscle and the skin, and then to reconstruct the soft tissue filling degree of the lower eyelid margin. The safety, efficacy and stability of the operation were evaluated by Barton grading, postoperative complications and scoring before and after operation and satisfactory analysis based on patients＇ satisfaction scale after operation.Results:All the patients were free of postoperative infection and healed at stage I. There were 2 cases of ecchymosis, 3 cases of ocular foreign body sensation, and no cases of infection, lower eyelid retraction, lower eyelid ectropion, or retrobulbous hematoma. The mean Barton score of all patients before surgery was 1.88±0.49, and the mean Barton score after surgery was 0.53±0.51. The n t-test showed that the difference was statistically significant (n t=15.75, n P<0.05), and the postoperative lacrimal groove deformity was improved. According to the score of satisfaction scale, 7 people were basically satisfied (21.88%) and 25 people were very satisfied (78.12%).n Conclusions:Forming in the orbicularis oculi muscle relaxation eyelid bag type of prosthesis, in addition to the part of the orbicularis oculi muscle relaxation, deformation, and widely shed canthus outside skin and orbicularis connection, make the next eyelid edge to reproduce the full shape, obviously the bulging under the eyelid relaxation, the shape of the degree of repair, lateral canthus wrinkles tail department have also improven, restoring the full eyelid platform. The operation has strong pertinence, simple procedures, less complications and better long-term effect.