[1]何叶青,王 松,张佩璐,等.双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术的效果及术后并发症观察[J].中国美容医学,2024,(5):45-48.
　HE Yeqing,WANG Song,ZHANG Peilu,et al.Observation on the Effect and Postoperative Complications of Double-layer Tile Suture Orbicularis Oculi Muscle Flap in Eyelid Blepharoplasty[J].Medical Aesthetics and Beauty,2024,(5):45-48.
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双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术的效果及术后并发症观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年5期
页码:
45-48
栏目:
出版日期:
2024-05-10

文章信息/Info

Title:
Observation on the Effect and Postoperative Complications of Double-layer Tile Suture Orbicularis Oculi Muscle Flap in Eyelid Blepharoplasty
文章编号:
1008-6455（2024）05-0045-04
作者:
何叶青1 ; 王 松2 ; 张佩璐2 ; 张建文1
(1.郑州大学第一附属医院整形外科 河南 郑州 450000 ;2.南阳市中心医院整形美容外科 河南 南阳 473000 )
Author(s):
HE Yeqing1 ;  WANG Song2 ;  ZHANG Peilu2 ;  ZHANG Jianwen1
( 1.Department of Plastic Surgery, the First Affi liated Hospital of Zhengzhou University, Zhengzhou 450000, Henan, China; 2.Department of Plastic Surgery, Nanyang Central Hospital, Nanyang 473000, Henan, China )
关键词:
双层瓦合缝合眼轮匝肌肌瓣; 睑袋切除术; 眼整形; 美学修复; 术后并发症
Keywords:
double-layer tile suture orbicularis oculi muscle flap;  eyelid blepharoplasty;  ophthalmic plastic;  aesthetic restoration;  postoperative complication
分类号:
R779.6
文献标志码:
A
摘要:
目的：探讨双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术的美观度及术后并发症的发生率。方法：选取2018年1月-2021 年1月笔者医院收治的70例接受睑袋切除术治疗的就医者，随机分为对照组（n=35）和观察组（n=35），对照组予以四步睑 袋法治疗，观察组予以双层瓦合缝合眼轮匝肌肌瓣法治疗。于术后3个月比较两组就医者的临床疗效和眼部美学效果，随 访12个月，统计并发症发生情况，“卧蚕”形成情况、睑袋复发情况以及就医者满意度。结果：术后，观察组总有效率 为94.29%，高于对照组的77.14%（P＜0.05）；观察组的美学效果优良率为97.14%，高于对照组的82.86%（P＜0.05）； 观察组的并发症发生率为2.86%，低于对照组的25.71%（P＜0.05）；观察组的“卧蚕”形成率为88.57%，高于对照组的 22.86% （P＜0.05）；两组睑袋复发率比较，差异无统计学意义（P＞0.05）；观察组的总满意度为88.57%，高于对照组的 65.71% （P＜0.05）。结论：双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术，可以提高临床疗效和眼部整形美容效果，降低并 发症发生风险，促进“卧蚕”形成，就医者满意度较高。
Abstract:
Objective To explore the aesthetics and postoperative complications of double-layer tile suture orbicularis oculi muscle fl ap in eyelid blepharoplasty. Methods A total of 70 patients undergoing eyelid blepharoplasty in the author’s hospital were enrolled between January 2018 and January 2021. They were randomly divided into control group (n=35) and observation group (n=35), control group was treated with four-step eyelid blepharoplasty ,and observation group was treated with doublelayer tile suture orbicularis oculi muscle fl ap. At 3 months after surgery, clinical curative eff ect and aesthetics eff ect between the two groups were compared. All patients were followed up for 12 months to statistically analyze the occurrence of complications, formation of lying silkworms, eyelid recurrence and patients satisfaction. Results After surgery, total response rate of observation group was higher than that of control group (94.29% vs 77.14%) (P ＜0.05). The good rate of aesthetics eff ect in observation group was higher than that in control group (97.14% vs 82.86%) (P＜0.05), incidence of complications was lower than that in control group (2.86% vs 25.71%) (P＜0.05), and formation rate of lying silkworm was higher than that in control group (88.57% vs 22.86%) (P＜0.05). There was no signifi cant diff erence in the recurrence rate of eyelid between the two groups (P ＞0.05). The total satisfaction rate in observation group was higher than that in control group (88.57% vs 65.71%) (P＜0.05). Conclusion The application of double-layer tile suture orbicularis oculi muscle flap in eyelid blepharoplasty can improve clinical curative effect and aesthetics effect, reduce the risk of complications and promote formation of lying silkworms, with high patients satisfaction.

相似文献/References:

[1]董莉莉,曹国平,窦裕平.眼轮匝肌缩短联合睑袋切除术治疗老年性下睑内翻[J].中国美容医学,2019,(09):71.
　DONG Li-li,CAO Guo-ping,DOU Yu-ping. Treatment of Senile Entropion by Orbicularis Oculi Muscle Shortening Combined withLower Eyelid Blepharoplasty[J].Medical Aesthetics and Beauty,2019,(5):71.
[2]杨小凤,刘兴德,万俊梅,等.不同手术方式对老年人下睑内翻治疗效果和预后的影响[J].中国美容医学,2022,(4):83.
　YANG Xiaofeng,LIU Xingde,WAN Junmei,et al.Effects of Different Surgical Methods on the Efficacy and Prognosis of Elderly Patients with Lower Eyelid Entropion[J].Medical Aesthetics and Beauty,2022,(5):83.

更新日期/Last Update: 2024-05-10