下睑袋的临床分型和治疗方案

Clinical classification and surgical management of palpebral bags

目的 探讨下睑袋的合理分类方法和治疗方案。方法 对200例各型下睑袋进行回顾性分析，根据皮肤松弛、眶隔后脂肪膨出、睑板松弛与否进行分类，并对手术效果进行评价。结果 200例患者手术满意率89％，基本满意率9％，不满意率2％。结论 依据下睑结构特点，按不同分型分别选用不同的治疗方法，才能获得满意的效果。

Objective To investigate the classification and surgical management of patients with palpebral bags. Methods A total of 200 cases with palpebral bags who underwent surgical treatment between May 2003 to August 2008 were retrospectively analyzed. The palpebral bags were classified according to skin flaccidhess, bulging of excessive orbital septum fat and tarsus relaxation. The postoperative cosmetic results were also assessed. Results Of the 200 treated cases, the postoperative cosmetic results were assessed as very satisfactory in 178 （89 % ） cases, as satisfactory in 18 （9 % ） cases, and as dissatisfactory in 4 （2 % ） cases. Conclusion Patients with palpebral bags should be treated with different surgical methods according to their different types.