[1]李风岚,钟祖斌. 改良Hamra下睑袋整复术矫治下睑袋松垂伴泪槽沟畸形效果分析[J].中国美容医学,2019,(12):46-48.
　LI Feng-lan,ZHONG Zu-bin. Analysis of the Effect of Modified Hamra Blepharoplasty in the Treatment of LowerEyelid Bag with Lacrimal Groove Deformity[J].Medical Aesthetics and Beauty,2019,(12):46-48.
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 改良Hamra下睑袋整复术矫治下睑袋松垂伴泪槽沟畸形效果分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年12期
页码:
46-48
栏目:
出版日期:
2019-12-05

文章信息/Info

Title:
 Analysis of the Effect of Modified Hamra Blepharoplasty in the Treatment of Lower
Eyelid Bag with Lacrimal Groove Deformity
作者:
 李风岚; 钟祖斌
Author(s):
 LI Feng-lan; ZHONG Zu-bin
关键词:
 ; [关键词]下睑袋; 泪槽沟畸形; 改良Hamra睑袋整复术; 泪槽解剖结构
Keywords:
 ; Key words: lower eyelid bag;  lacrimal groove deformity;  modified Hamra blepharoplasty;  lacrimal groove anatomy
文献标志码:
A
摘要:
[摘要]目的：探究改良Hamra睑袋整复术矫治下睑袋松垂伴泪槽沟畸形的效果，及对泪槽沟结构重建的影响。方法：回顾
性选取笔者医院收治的行改良Hamra睑袋整复术的下睑袋松垂伴泪槽沟畸形患者80例。根据Hirmand法对泪槽畸形程度进
行分型，分为Ⅰ型34例，Ⅱ型46例。通过泪槽沟畸形等级量表（Tear trough rating scale，TTRS）及满意度调查评价
泪槽结构的恢复及手术效果。结果：与术前相比，术后1、3、6个月TTRS评分明显下降，差异有统计学意义（P ＜0.05）；
术后6个月，两型之间比较差异无统计学意义（P ＞0.05）。Ⅰ型、Ⅱ型患者满意度分别为100.00%、86.96%，两型之间比
较差异无统计学意义（P ＞0.05）。Ⅰ型患者术后修复效果良好。Ⅱ型患者中6例效果欠佳；5例下眼睑袋修复效果满意，
但是泪槽畸形改善不明显，恢复为Ⅰ型状态，术后效果较满意；3例下眼睑及泪槽畸形全部复发，给予改良Hamra术，效果满
意；其余32例术后修复效果满意。结论：改良Hamra睑袋整复术在下睑袋伴泪槽沟畸形患者治疗中取得较好的临床疗效，且
促进患者泪槽解剖结构畸形的恢复，值得临床推广应用。

Abstract:
Abstract: Objective To explore effect of modified Hamra blepharoplasty on the anatomical structure of lacrimal groove in
patients with lower eyelid bag with lacrimal groove deformity. Methods Retrospectively selected 80 cases of lower eyelid bag
with lacrimal groove deformity treated by modified Hamra blepharoplasty in our hospital. According to the degree of lacrimal
groove deformity by Hirmand method, 34 cases were classified as type Ⅰ and 46 cases as type Ⅱ. The recovery of lacrimal
groove structure and the effect of operation were evaluated by deformity rating scale (TTRS) and satisfaction survey. Results
Compared with the preoperative, the TTRS scores of 1,3,6 months after operation were significantly lower, the differences were
statistically significant(P ＜0.05). There was no significant difference between the two types at 6 months after operation(P ＞0.05).
The satisfaction of type Ⅰ and type Ⅱ patients was 100.00% and 86.96%, respectively, there was no significant difference
between the two types(P ＞0.05). The results of type I patients were good. Among the type Ⅱ patients, 6 cases had poor effect.
5 cases had satisfactory effect of lower eyelid repair, but the improvement of lacrimal groove deformity was not obvious,
which was restored to the type Ⅰ state, and the postoperative effect was more satisfactory. 3 cases had recurrence of lower
eyelid and lacrimal groove deformity, which was treated with improved Hamra operation, with satisfactory effect. The rest 32
cases had satisfactory effect of postoperative repair. Conclusion Modified Hamra blepharoplasty has a good clinical effect in
the treatment of lower eyelid bag with lacrimal groove deformity, and promotes the recovery of lacrimal groove anatomical
deformity, which is worthy of clinical application.

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更新日期/Last Update: 2020-01-06