改良肌皮瓣法结合眶隔固定术进行眼袋整形的临床效果观察

Observation of the Clinical Effect of Modified Myocutaneous Flap Method Combined with Orbital Septum Fixation on Lower Blepharoplasty

目的:探讨改良肌皮瓣法结合眶隔固定术进在行眼袋整形的临床效果。方法:选取来我院进行眼袋整形的患者80例,将其进行随机分组,分为观察组和对照组两组,每组各40例患者。对照组40例患者应用传统肌皮瓣法进行眼袋整形,观察组患者应用改良肌皮瓣法联合眶隔固定术进行眼袋整形。结果:观察组患者眼袋整形术后,美容效果满意率为97.5%,对照组患者眼袋整形术后,美容效果满意率为82.5%,两组患者的美容效果满意度比较差异具有显著性(P<0.05)。观察组患者眼袋整形过程中患者发生瘀斑、轻度睑外翻、结膜炎等并发症的发生率为2.5%,对照组患者眼袋整形过程中患者发生瘀斑、轻度睑外翻、结膜炎等并发症的发生率为12.5%,两组患者并发症发生率比较差异具有显著性(P<0.05)。结论:改良肌皮瓣法结合眶隔固定术进行眼袋整形具有安全、可靠,患者美容效果满意度较高的临床优势,值得在临床中进行推广应用。

Objective:To investigate the clinical effect of modified myocutaneous flap method combined with orbital septum fixation on lower blepharoplasty. Methods:80 patients in the hospital for eye surgery were randomly divided into the observation group and the control group, with 40 patients in each group. 40 patients in the control group used traditional myocutaneous flap method for eye surgery, and the patients in observation group applied muscle skin flap method combined with orbital septum fixation on lower blepharoplasty. Results:Cosmetic satisfactory rate of the patients with eye plastic surgery in the observation group was 97.5%, and cosmetic satisfactory rate of patients in the control group was 82.5%. There was significant difference between the satisfaction of cosmetic effect of two groups (P<0.05). The occurrence rate of ecchymosis, patients with lower eyelid blepharoplasty in mild ectropion, conjunctivitis and other complications occurred in 2.5% patients, and that in the control group was 12.5%, with significant difference in two groups(P<0.05). Conclusion:The modified muscle skin flap method septum orbitale fixation eye surgery is safe and reliable, and has clinical advantages of cosmetic effect with a higher patient satisfaction. So it is worthy of promotion in clinical application.