三种重睑成形术对不对称重睑的矫治效果及安全性评价

The Efficacy and Safety Evaluation of Three Types of Double Eyelid Surgery on Asymmetric Double Eyelid

目的:探讨三种重睑成形术对不对称重睑患者整形效果、手术情况及安全性。方法:选取2018年5月-2019年12月笔者医院收治的123例不对称重睑患者,采取传统切开法的45例患者纳入切开组,采取传统埋线法的42例患者纳入埋线组,采取小切口微创去脂联合连续埋线法的36例患者纳入微创组,比较三组患者手术情况、整形满意度、不良反应发生情况。结果:三组患者手术时间、手术出血量、切口愈合时间组间有统计学差异,微创组、埋线组与切开组比较,手术时间、切口愈合时间明显较短,手术出血量明显较少,差异有统计学意义(P<0.05)。术后3个月及1年三组间患者整形总满意度对比差异有统计学意义,微创组、埋线组3个月整形效果明显高于切开组,微创组1年后整形效果明显高于埋线组、切开组,差异有统计学意义(P<0.05)。三组患者不良反应总发生率组间对比差异有统计学意义,微创组不良反应总发生率明显低于切开组,差异有统计学意义(P<0.05)。结论:相比于传统切开法及埋线法,小切口微创去脂联合连续埋线法整形修复术应用于不对称重睑患者具有良好的整形效果,减少手术出血,促进创口恢复,安全性高,具有长期保持效果。

Objective To investigate the effect,operation and safety of three types of blepharoplasty on patients with asymmetric double eyelid.Methods A total of 123 patients with asymmetric double eyelids treated in our hospital from May 2018 to December 2019 were selected.45 patients with traditional incision method were included in the incision group,42 patients with traditional catgut embedding method were included in the catgut embedding group,and 36 patients with small incision minimally invasive fat removal combined with continuous catgut embedding method were included in the minimally invasive group.The operation,plastic satisfaction and adverse reactions of the three groups were compared.Results There were significant differences in operation time,operation bleeding and incision healing time among the three groups.Compared with the incision group,the operation time and incision healing time were significantly shorter and the amount of operation bleeding was significantly less in the minimally invasive group and the catgut embedding group(P<0.05).There was significant difference in the total satisfaction of plastic surgery among the three groups at 3 months and 1 year after operation.The plastic effect of minimally invasive group and catgut embedding group at 3 months was significantly higher than that of incision group,and the plastic effect of minimally invasive group at 1 year was significantly higher than that of catgut embedding group and incision group(P<0.05).There was significant difference in the total incidence of adverse reactions among the three groups.The total incidence of adverse reactions in the minimally invasive group was significantly lower than that in the incision group(P<0.05).Conclusion Compared with the traditional incision method and thread embedding method,small incision minimally invasive degreasing combined with continuous thread embedding method plastic and repair surgery has good plastic effect in patients with asymmetric double eyelid,reduces surgical bleeding,promotes wound recovery,and has high safety,with long-term retention effect.