双层瓦合眼轮匝肌肌瓣用于眼袋切除术的效果

Clinical effect of double-layer tiled orbicularis oculi muscle flap in plastic surgery of the pouch

目的探讨双层瓦合眼轮匝肌肌瓣用于眼袋切除术的效果.方法2016年1月至2019年1月,在陆军军医大学第一附属医院整形外科接受眼袋切除术患者100例[男25例,女75例,年龄20~60(38.39±3.33)岁],按照随机数字表分为观察组与对照组各50例.观察组采用双层瓦合眼轮匝肌肌瓣治疗,对照组采用传统下睑皮肤入路眼袋切除术,比较两组效果.结果观察组、对照组治疗有效率分别为94.00%、80.00%,差异有统计学意义(χ^2=4.332,P<0.05).观察组术后切口红肿、小血肿、少量分泌物等并发症发生率明显低于对照组(χ^2=9.890,P<0.05);观察组术后随访期间,患者满意度明显高于对照组(χ^2=7.862,P<0.05).结论双层瓦合眼轮匝肌肌瓣用于眼袋整形可达到较满意效果,安全性较好.

Objective To investigate the clinical effect of the double-layer wattle orbicularis oc-uli muscle flap in the pouch plastic surgery.Methods From January 2016 to January 2019,100 pa-tients(male 25,female 75,aged 20-60(38.39±3.33)years)who received pouch plastic surgery in the First Affiliated Hospital of Army Medical University were divided into observation group and con-trol group according to the method of drawing lots,50 cases in each group.The observation group was treated with double-layer wattle and orbicularis oculi muscle flap,while the control group was treated with traditional lower eyelid skin approach to remove the pouch,and the treatment effect of the two groups was compared.Results The total effective rate of the two groups was 94.00%and 80.00%respectively(χ^2=4.332,P<0.05);the incidence of postoperative complications such as in-cision swelling,small hematoma and small amount of secretion in the study group was significantly lower than that in the control group(χ^2=9.890,P<0.05);during the follow-up period,the patients satisfaction rate in the study group was significantly higher than that in the control group(χ^2=7.862,P<0.05).Conclusions The double layer tiled orbicularis oculi muscle flap can achieve the i-deal effect in pouch plastic surgery,with good safety and long-term effect,and has the value of clinical application.