透明质酸钠复合溶液不同注射方法改善眶周老化的效果

Efficacy of compound hyaluronate solution with different injection methods in improving periorbital aging

目的:探讨下睑透明质酸钠复合溶液不同注射方案改善眶周老化的效果。方法:2021年9月至2022年6月,南京医科大学友谊整形外科医院整形外科及南京医科大学友谊整形外科医院泰州医疗美容门诊部收治要求下睑年轻化的美容就医者86例,男2例、女84例,年龄20~58(34.3±7.3)岁。分为两组,钝针组(68例)用25 G钝针在眶颧沟外侧和泪沟延长线颊中沟外侧做2个进针点,在肌肉下深层脂肪垫及皮下浅层分别进行适量注射;锐针组(18例)用30 G锐针,直接垂直皮肤顶至泪沟、睑颧沟相应区域的眶骨弓状缘骨膜上及皮下浅层脂肪进行注射。观察美容就医者治疗效果和眶周瘀斑、肿胀等并发症。结果:钝针组68例患者中均表现泪槽沟及睑颧沟明显改善,眼周实现年轻化,有4例出现点状瘀斑,1例患者满意度欠佳,其余患者均较为满意。锐针组18例患者均有泪沟及睑颧沟改善,其中6例出现瘀斑,其中有2例瘀斑弥散范围较大并表示不满意,其余患者对治疗结果较满意。结论:钝针组和锐针组均能不同程度地改善泪槽沟凹陷和睑颧沟凹陷,实现眶周年轻化,但钝针组治疗方案相较于锐针组在下睑年轻化治疗中出现瘀斑等并发症概率更低。

Objective To explore the effect of different injection schemes on improving lower eyelid rejuvenation and avoiding complications such as ecchymosis around the orbit.Methods From September 2021 to June 2022,86 patients who underwent lower eyelid rejuvenation at the Plastic Surgery Department of Nanjing Medical University Friendship Hospital and Taizhou Medical Cosmetic Clinic of Nanjing Medical University Friendship Plastic Surgery Hospital were included in this study.There were 2 males and 84 females,aged 20-58(34.27±7.27)years.The patients were divided into two groups:the Cannula Group(68 cases)received appropriate injections under the deep layer of muscle fat pad and superficial layer of subcutaneous tissue using a 25 G cannula at two entry points on the lateral orbital zygomatic groove and the extension line of tear trough buccal groove;the Needle Group(18 cases)received injections directly perpendicular to the skin top to the orbital arch border of the corresponding area of tear trough and eyelid commissure fossa and superficial layer of subcutaneous fat using a 30G needle.The therapeutic effects and complications such as periorbital ecchymosis and swelling were observed in both groups.Results In the Cannula Group,all 68 patients showed significant improvement in tear trough groove and eyelid commissure groove,achieving eyelid rejuvenation.Four patients developed spotty ecchymosis,and one patient was dissatisfied with the treatment outcome.The other patients were satisfied with the results.In the Needle Group,all 18 patients showed improvement in tear trough groove and eyelid commissure groove,with 6 patients developing ecchymosis.Two patients with large range of ecchymosis expressed dissatisfaction,while the rest were satisfied with the treatment outcome.Conclusions Tear trough groove depression and eyelid commissure groove depression have been improved to varying degrees in both the Cannula Group and the Needle Group,achieving periorbital rejuvenation.However,the Cannula Group has a lower probability of complications such as ecchymosis compared to the Needle Group in lower eyelid rejuvenation treatment.