结膜入路整形术治疗下眼袋的临床疗效分析

Analysis of clinical efficacy of plastic surgery through a transconjunctival approach in the treatment of lower eyelid bags

目的探讨结膜入路整形术治疗下眼袋的临床效果。方法55例行下眼袋整形术患者,随机分为观察组(30例)和对照组(25例)。观察组患者行结膜入路整形术,对照组患者行皮肤入路整形术。比较两组患者的手术效果、术后切口愈合良好率及下眼袋复发率、术后并发症发生情况、对手术治疗的满意度评分。结果观察组患者手术总有效率为100.0%,高于对照组的84.0%,差异具有统计学意义(P<0.05)。观察组患者术后切口愈合良好率93.3%高于对照组的68.0%,下眼袋复发率0低于对照组的24.0%,差异具有统计学意义(P<0.05)。观察组患者术后眼睑外翻、流泪、水肿、异物感、皮肤瘢痕、感染、色素沉着发生率分别为0、6.7%、3.3%、6.7%、0、3.3%、0,均低于对照组的20.0%、28.0%、24.0%、28.0%、24.0%、20.0%、24.0%,差异具有统计学意义(P<0.05);观察组患者术后框下凹陷、血肿发生率低于对照组,但差异无统计学意义(P>0.05)。观察组患者对手术过程、术后恢复过程、术后恢复效果及总体评价满意度评分分别为(97.29±1.43)、(98.55±1.06)、(97.92±1.33)、(98.51±1.27)分,均高于对照组的(94.71±3.25)、(95.48±2.13)、(93.72±2.17)、(94.52±2.13)分,差异具有统计学意义(P<0.05)。结论对于手术去除下眼袋治疗,结膜入路整形术的临床效果显著,手术切口愈合良好,二次复发率低,同时术后并发症少,患者对于手术治疗的满意度较高,值得临床推广应用。

Objective To discuss the clinical effect of plastic surgery through a transconjunctival approach in the treatment of lower eyelid bags.Methods A total of 55 patients undergoing lower eyelid blepharoplasty were randomly divided into observation group(30 cases)and control group(25 cases).The observation group underwent plastic surgery through a transconjunctival approach,and the control group underwent plastic surgery through skin approach.Both groups were compared in terms of surgical effect,rate of good wound healing,recurrence rate of lower eyelid bags,occurrence of postoperative complications and the satisfaction score with surgical treatment.Results The total effective rate of the observation group was 100.0%,which was higher than that of 84.0%of the control group,and the difference was statistically significant(P<0.05).The rate of good wound healing of 93.3%in the observation group was higher than that of 68.0%in the control group,and the recurrence rate of lower eyelid bags of 0 was lower than that of 24.0%in the control group.The differences were statistically significant(P<0.05).The prevelance of eyelid ectropion,tearing,edema,foreign body sensation,skin scar,infection and pigmentation in the observation group were 0,6.7%,3.3%,6.7%,0,3.3%and 0,which were lower than those of 20.0%,28.0%,24.0%,24.0%,20.0%and 24.0%in the control group,and the difference were statistically significant(P<0.05).The prevelance of subframe depression and hematoma in the observation group was lower than those in the control group,but the differences were not statistically significant(P>0.05).In the observation group,the satisfaction score with surgical process,postoperative recovery,postoperative recovery effect and overall evaluation were(97.29±1.43),(98.55±1.06),(97.92±1.33)and(98.51±1.27)points,which were higher than those of(94.71±3.25),(95.48±2.13),(93.72±2.17)and(94.52±2.13)points in the control group,and the differences were statistically significant(P<0.05).Conclusion For the treatment of surgical removal of lower eyelid bags,the clinical effect of plastic surgery through a transconjunctival approach is significant,the surgical incision heals well,the secondary recurrence rate is low,and there are fewer postoperative complications.The overall satisfaction of patients with surgical treatment is high,and it is worthy of clinical promotion.