四步法睑袋整形术疗效及术后并发症观察
|
摘要
目的:观察四步法睑袋整形术治疗睑袋的疗效及术后并发症发生情况。方法:回顾性分析2017年6月-2018年6月于笔者医院行四步法睑袋整形的48例就医者临床资料,手术主要包括眶隔疝出脂肪切除重置、眶隔加固、外眦韧带悬吊及松弛皮肤去除四个步骤,评价一般手术情况、手术疗效、术后并发症发生率及满意度评分。结果:本组48例就医者平均手术时间(17.18±3.64)min,眼部皮肤恢复正常时间(26.84±6.92)d;48例就医者术后下眼睑皮肤松弛、臃肿、下垂情况得到不同程度改善,其中显效19例(39.58%),有效27例(56.25%),无效2例(4.17%),总有效率达95.83%;术后未见下睑退缩、眼睑外翻、眼睑皮肤松弛等严重并发症,有1例切口感染(2.08%),1例眼部血肿(2.08%),并发症总发生率为4.17%;就医者平均满意度总得分达(89.95±7.16)分。结论:四步法睑袋整形术手术时间短,术后恢复快,整体疗效高,并发症发生率低,就医者满意度较高,是一种安全、有效的睑袋整形术式,值得临床应用。
Objective To observe the efficacy and postoperative complications of four-step process blepharoplasty on eyelid pouch. Methods The clinical data of 48 patients who underwent four-step process blepharoplasty from June 2017 to June 2018 were retrospectively analyzed, and the surgery mainly included four steps: herniated fat removal or reset in orbital septum,orbital septum reinforcement, lateral tarsal ligament suspension and loose skin removal. The general surgery, surgical efficacy,incidence rate of postoperative complications and satisfaction score were evaluated. Results The average operative time was(17.18±3.64)min, and the time of eye skin normal recovery was(26.84±6.92)d. Among the 48 patients, the skin relaxation,swelling and sagging of lower eyelid were improved in different degrees after operation, and 19 cases(39.58%) were markedly effective, and 27 cases(56.25%) were effective and 2 cases(4.17%) were ineffective, and the total effective rate was 95.83%.There were no serious complications of lower eyelid retraction, eyelid ectropion or eyelid skin relaxation after operation,and there was one case of wound infection(2.08%) and one case of ocular hematoma(2.08%), and the total incidence rate of complications was 4.17%. The total score of average satisfaction was(89.95±7.16)points. Conclusion Four-step process blepharoplasty has short operative time, quick recovery, high overall efficacy, low incidence rate of complications and high satisfaction. And it is a safe and effective blepharoplasty.
Objective To observe the efficacy and postoperative complications of four-step process blepharoplasty on eyelid pouch. Methods The clinical data of 48 patients who underwent four-step process blepharoplasty from June 2017 to June 2018 were retrospectively analyzed, and the surgery mainly included four steps: herniated fat removal or reset in orbital septum,orbital septum reinforcement, lateral tarsal ligament suspension and loose skin removal. The general surgery, surgical efficacy,incidence rate of postoperative complications and satisfaction score were evaluated. Results The average operative time was(17.18±3.64)min, and the time of eye skin normal recovery was(26.84±6.92)d. Among the 48 patients, the skin relaxation,swelling and sagging of lower eyelid were improved in different degrees after operation, and 19 cases(39.58%) were markedly effective, and 27 cases(56.25%) were effective and 2 cases(4.17%) were ineffective, and the total effective rate was 95.83%.There were no serious complications of lower eyelid retraction, eyelid ectropion or eyelid skin relaxation after operation,and there was one case of wound infection(2.08%) and one case of ocular hematoma(2.08%), and the total incidence rate of complications was 4.17%. The total score of average satisfaction was(89.95±7.16)points. Conclusion Four-step process blepharoplasty has short operative time, quick recovery, high overall efficacy, low incidence rate of complications and high satisfaction. And it is a safe and effective blepharoplasty.
引文
[1]谢萍.优质护理干预对重睑术联合下眼袋矫正术患者的影响[J].检验医学与临床,2017,14(22):3295-3296.
[2]Bilkhu P,Wolffsohn JS,Hilton A,et al.Microwave decontamination of eyelid warming devices for the treatment of meibomian gland dysfunction[J].Cont Lens Anterior Eye,2016,39(4):293-297.
[3]颜世传,董凤.老年眼整形中四步法眼袋整形术应用体会[J].环球中医药,2015,8(s1):238.
[4]刘阳阳,张天资.下睑眼袋手术并发眼心反射的中西医治疗方法探讨[J].现代中西医结合杂志,2015,24(3):314-316.
[5]王妮娜.实施四步法眼袋切除术在老年眼部整形中的应用[J].中华医学美学美容杂志,2018,24(1):59-60.
[6]张祥运,林秀峰,龙武军,等.眶隔释放联合外眦锚着技术在眼袋整形中的应用[J].华西医学,2017,32(7):1054-1056.
[7]华杏珍,沈剑,陈云.注射用A型肉毒毒素在眼袋整形术中的应用效果分析[J].中国地方病防治杂志,2016,31(9):1060.
[8]宋慧锋,王祎蓉,陈保国,等.四步法眼袋整形术在老年眼整形中的应用[J].中国美容医学,2012,21(5):737-739.
[9]张晔,习耀峰,陈荣,等.A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的疗效观察[J].现代生物医学进展,2017,17(25):4944-4947.
[10]高锦越,李茂玉,涂建华.眼袋整形术的临床应用[J].西部医学,2014,26(11):1526-1527.
[11]孟庆鹏.去眶隔脂肪加强眶隔支持组织的眼袋整形术研究[D].郑州:郑州大学,2014.
[12]樊星,殷悦,李潼,等.非剥脱点阵激光联合A型肉毒毒素透皮给药治疗眼周皱纹的临床效果评估[J].中国美容医学,2017,26(1):10-12.
[13]李盛华,陈志鹏,丁祖烈,等.经下睑缘切口中面部年轻化手术的疗效[J].实用医学杂志,2016,32(20):3459-3460.
[2]Bilkhu P,Wolffsohn JS,Hilton A,et al.Microwave decontamination of eyelid warming devices for the treatment of meibomian gland dysfunction[J].Cont Lens Anterior Eye,2016,39(4):293-297.
[3]颜世传,董凤.老年眼整形中四步法眼袋整形术应用体会[J].环球中医药,2015,8(s1):238.
[4]刘阳阳,张天资.下睑眼袋手术并发眼心反射的中西医治疗方法探讨[J].现代中西医结合杂志,2015,24(3):314-316.
[5]王妮娜.实施四步法眼袋切除术在老年眼部整形中的应用[J].中华医学美学美容杂志,2018,24(1):59-60.
[6]张祥运,林秀峰,龙武军,等.眶隔释放联合外眦锚着技术在眼袋整形中的应用[J].华西医学,2017,32(7):1054-1056.
[7]华杏珍,沈剑,陈云.注射用A型肉毒毒素在眼袋整形术中的应用效果分析[J].中国地方病防治杂志,2016,31(9):1060.
[8]宋慧锋,王祎蓉,陈保国,等.四步法眼袋整形术在老年眼整形中的应用[J].中国美容医学,2012,21(5):737-739.
[9]张晔,习耀峰,陈荣,等.A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的疗效观察[J].现代生物医学进展,2017,17(25):4944-4947.
[10]高锦越,李茂玉,涂建华.眼袋整形术的临床应用[J].西部医学,2014,26(11):1526-1527.
[11]孟庆鹏.去眶隔脂肪加强眶隔支持组织的眼袋整形术研究[D].郑州:郑州大学,2014.
[12]樊星,殷悦,李潼,等.非剥脱点阵激光联合A型肉毒毒素透皮给药治疗眼周皱纹的临床效果评估[J].中国美容医学,2017,26(1):10-12.
[13]李盛华,陈志鹏,丁祖烈,等.经下睑缘切口中面部年轻化手术的疗效[J].实用医学杂志,2016,32(20):3459-3460.