眼轮匝肌瓣联合眶隔脂肪瓣矫正上睑凹陷的临床应用及美学效果分析

Analysis of Clinical Application and Esthetic Effect in Patients with Sunken Upper Eyelid by Orbicularis Muscle Flap Combined with Septum Orbitale Fat Flap Method

目的:探讨眼轮匝肌瓣联合眶隔脂肪瓣矫正上睑凹陷的临床应用及美学效果。方法:选择2016年7月-2017年7月本院收治的100例上睑凹陷患者随机分为对照组(50例)和观察组(50例)。对照组给予传统眼睑肌瓣矫正术治疗,观察组给予眼轮匝肌瓣联合眶隔脂肪瓣矫正术治疗。观察比较两组患者治疗效果及治疗满意度。结果:治疗后,观察组患者重睑线自然流畅,上睑凹陷明显改善,美学效果显著提高。观察组总有效率为94.0%显著高于对照组的78.0%,差异有统计学意义(P<0.05);观察组总满意度为96.0%明显高于对照组的78.0%,差异具有统计学意义(P<0.05)。结论:眼轮匝肌瓣联合眶隔脂肪瓣矫正上睑凹陷效果显著,可明显提高患者满意度及美学效果,值得在临床中应用推广。

Objective To study clinical application and esthetic effect in patients with sunken upper eyelid by orbicularis muscle fap combined with septum orbitale fat fap method. Methods 100 cases of patients with sunken upper eyelid were divided into the observation group （50 cases） and the control group （50 cases）. The control group was given traditional blepharoplasty while the observation group was received orbicularis muscle fap combined with septum orbitale fat fap. The treatment effect and satisfaction of the two groups were observed and compared. Results After treatment, the eyelid line of the patients in the observation group was naturally smooth, the upper eyelid depression improved signifcantly, and the aesthetic effect was signifcantly improved. The total effective rate of the observation group was 94.0%, which was signifcantly higher than that of the control group（78.0%）, the difference was statistically signifcant（P〈0.05）. The total satisfaction rate of the observation group was 96.0%, which was signifcantly higher than that of the control group （78.0%）. Conclusion Orbicularis oculi muscle fap combined with orbital septal fat fap to correct the upper eyelid depression effect is signifcant, can signifcantly improve patient satisfaction and aesthetic effect, improve patient quality of life, it is worth in the clinical application.