眼轮匝肌楔形切除联合眶隔释放法在中老年眼睑整形中的应用效果
作者:
作者简介:

厉立辉(1989.2-),男,浙江慈溪人,硕士,主治医师,主要从事整形外科临床工作

中图分类号:

R622


Application Effect of Orbicularis Oculi Muscle Wedge Resection Combined with Orbital Septum Release Method in Middle-aged and Elderly Eyelid Plastic Surgery
Author:
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献 [13]
  • |
  • 相似文献 [20]
  • | | |
  • 文章评论
    摘要:

    目的 分析在中老年眼睑整形中采用眼轮匝肌楔形切除联合眶隔释放法的效果。方法 选取2021 年 1 月-2024 年1 月于南京维多利亚美容医院行眼睑整形的223 例中老年患者为研究对象,以随机数字表法分 为对照组(n=111)和观察组(n=112)。对照组采取传统眼袋整形手术,观察组采取眼轮匝肌楔形切除联合眶 隔释放法手术,比较两组治疗效果、眼睑改善情况及并发症发生情况。结果 观察组治疗后1、3、6 个月治疗 效果评分均高于对照组(P < 0.05);观察组治疗后皮肤松弛、下睑皱纹、眼袋评分均低于对照组(P < 0.05); 观察组并发症发生率为1.79%,低于对照组的9.01%(P < 0.05)。结论 眼轮匝肌楔形切除联合眶隔释放 法在中老年眼睑整形中的应用效果确切,可有效改善眼睑皮肤松弛问题,消除眼袋,且并发症较少,手术 安全性较高。

    Abstract:

    Objective To analyze the effect of orbicularis oculi muscle wedge resection combined with orbital septum release in middle-aged and elderly eyelid plastic surgery. Methods A total of 223 middle-aged and elderly patients who underwent eyelid plastic surgery in Nanjing Victoria Beauty Hospital from January 2021 to January 2024 were selected as the research objects. They were divided into control group (n =111) and observation group (n =112) by random number table method. The control group was treated with traditional eyelid plastic surgery, and the observation group was treated with orbicularis oculi muscle wedge resection combined with orbital septum release method. The therapeutic effect, eyelid improvement and complications were compared between the two groups. Results The therapeutic effect score of the observation group at 1, 3 and 6 months after treatment was higher than that of the control group (P <0.05). After treatment, the scores of skin relaxation, lower eyelid wrinkles and eye bags in the observation group were lower than those in the control group (P <0.05). The incidence of complications in the observation group was 1.79%, which was lower than 9.01% in the control group (P <0.05). Conclusion The application effect of orbicularis oculi muscle wedge resection combined with orbital septum release method in eyelid plastic surgery for middle-aged and elderly patients is exact, which can effectively improve the problem of eyelid skin relaxation and eliminate eye bags, with fewer complications and higher surgical safety.

    参考文献
    [1]杨渊,马强良,董雪,等.经结膜入路眶隔脂肪释放法矫正泪槽 畸形的效果分析[J].中华整形外科杂志,2022,38(5):540-545.
    [2]陈鹿嘉,汤洁莹,李薇薇,等.眼轮匝肌下脂肪浅面眶隔脂肪 释放重置在下睑成形术中的应用效果[J].中华整形外科杂 志,2024,40(1):82-87.
    [3]黄鹯.经下睑皮肤切口实现多项目联合治疗睑袋及 中面部老化的疗效观察[ J ] . 中国美容整形外科杂 志,2022,33(10):621-622.
    [4]李树宝,沈沛,李梦菲,等.改良眶隔脂肪释放在下睑袋成 形术同期矫正泪槽畸形的效果[J].中华医学美学美容杂 志,2024,30(3):251-255.
    [5]麻慧菱,蔡秀秀,张姣姣.保留睑板前眼轮匝肌睑缘切 口内固定法重睑术的临床应用[J].中华整形外科杂 志,2024,40(5):537-544.
    [6]郑欣,杨抒,陈祥军.眼轮匝肌楔形切除联合眶隔释放法在 中老年睑袋整形中的应用[J].安徽医药,2023,27(5):993- 996,1063.
    [7]李永峰,张正文,支凌翔.眶隔脂肪合理化释放结合眼轮匝肌 肌瓣翻转填充在凹陷型睑袋整复术中的应用体会[J].中国 医疗美容,2021,11(2):19-21.
    [8]李广元.探究联合应用眶隔释放与外眦锚着技术用于眼 袋整形中的效果及对美学评分的影响[J].医学美学美 容,2021,30(23):120-121.
    [9]徐永飞.眼轮匝肌-提上睑肌腱膜复合固定术在重睑术中的 应用研究[J].淮海医药,2024,42(1):36-39.
    [10]李小正.眼轮匝肌折叠联合脂肪填充与传统眼睑肌瓣矫正 术治疗上睑凹陷的安全性和近期效果比较研究[J].河南外 科学杂志,2023,29(5):141-143.
    [11]王洋,张永军,刘振楠.局部皮瓣治疗对眼周美容整形患者 切口愈合、眼睑功能及并发症的影响[J].四川解剖学杂 志,2024,32(1):66-68.
    [12]朱加贵,吴琼欢,黄海,等.两种改良手术治疗上睑内翻倒睫 对睑板腺功能的影响[J].医师在线,2024,14(1):13-16.
    [13]盛飞,姜鑫利.改良Park法重睑成形术临床效果观察[J].中 国美容医学,2023,32(3):4-6.
    引证文献
引用本文

厉立辉.眼轮匝肌楔形切除联合眶隔释放法在中老年眼睑整形中的应用效果[J].医学美学美容,2024,33(19):92-95.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 在线发布日期: 2024-10-30