改良眼袋整复术在下睑年轻化治疗中的临床观察

Clinical observation of modified lower blepharoplasty for lower eyelid rejuvenation

目的探讨改良眼袋整复术在下睑年轻化治疗中的临床疗效。方法回顾性研究2018年5月—2020年5月就诊的101例行皮肤入路的改良眼袋整复术的患者临床资料。手术主要包括皮下及肌下剥离、眶隔脂肪释放、移位、轮匝肌及SOOF(轮匝肌下脂肪)提升、外眦锚定、眼台重建,对术后临床疗效进行评价。结果101例患者的下睑皮肤松弛、眼袋、泪沟畸形、中面部下垂等外观均有不同程度的改善。其中显效79例(78.22%),有效31例(30.69%),无效1例(0.9%),总有效率99%。1例出现轻度下睑外翻,早期给予外侧睑板条悬吊术后即刻恢复,并发症发生率为0.9%;患者术前及术后1、3、6个月的满意度评分分别为(1.66±0.48)分、(3.92±0.76)分、(4.32±0.62)分、(4.62±0.55)分,术后与术前评分比较,其差异具有统计学意义(P<0.05)。结论改良眼袋整复术,能有效获得良好的下睑年轻化效果,具有整体疗效好、并发症少、效果持久、满意度高等优势。

Objective To explore the clinical effect of modified lower blepharoplasty for lower eyelid rejuvenation.Methods A total of 101 cases treated by modified lower blepharoplasty with skin incision from May 2018 to May 2020 were selected in the retrospective analysis.Surgical procedures included subcutaneous and muscular decohesion,orbital septum fat release and displacement,orbicularis oculi muscle and suborbicularis oculi fat(SOOF)lifting,lateral canthal anchoring,and pretarsal fullness reconstruction of the lower eyelid.Postoperative clinical effect was evaluated.Results In the selected 101 patients,the appearances of blepharochalasis,lower eyelid bags,lacrimal sulcus deformity,middle face ptosis were improved with varying degrees.Among them,79 cases(78.22%)were markedly effective,31 cases(30.69%)were effective,and 1 case(0.9%)was ineffective;the total effective rate was 99%.One case developed mild lower eyelid ectropion and recovered immediately after lateral tarsal strip procedure;the complication rate was 0.9%.The preoperative and postoperative 1-,3-,and 6-month satisfaction scores of the patients were 1.66±0.48,3.92±0.76,4.32±0.62,and 4.62±0.55,respectively.The difference between postoperative and preoperative scores was statistically significant(P<0.05).Conclusion Modified lower blepharoplasty can effectively rejuvenate lower eyelid,with the advantages of good and permanent overall effect,fewer complications,and high satisfaction.