改良肌皮瓣法结合眶隔固定术在睑袋整形中的应用效果分析

Effect Analysis of Modified Musculocutaneous Flap Combined with Orbital Septopexyin Eyelid Plastic Surgery

目的:探讨睑袋整形中改良肌皮瓣法结合眶隔固定术的效果及对并发症影响。方法:回顾性分析2020年7月-2022年6月于笔者医院接受传统肌皮瓣法睑袋整形术的53例患者临床资料,纳入传统组,回顾性分析同期于笔者医院接受传统肌皮瓣法结合眶隔固定术的55例患者临床资料,纳入联合组。比较两组患者临床指标、临床疗效[睑袋程度评分、下睑皮肤皱纹(Fitzpatrick皱纹分级评分)、泪沟(Barton分级评分)],统计患者满意度及并发症发生情况。结果:联合组手术时间长于传统组,但眼部外观恢复时间、住院时间短于传统组(均P<0.05);术后2个月,两组患者睑袋程度评分、Fitzpatrick评分及Barton评分均较治疗前降低,且联合组低于传统组(均P<0.05);联合组患者术后满意度高于传统组,并发症发生率低于传统组(均P<0.05)。结论:改良肌皮瓣法结合眶隔固定术在睑袋整形术中效果显著,能够促进患者术后恢复,提高患者满意度,减少并发症发生。

Objective To explore the application effect of modified musculocutaneous flap combined with orbital septum fixation during pouch plastic surgery and its influence on complications.Methods The clinical data of 53 patients who received traditional musculocutaneous flap for pouch plastic surgery in the author's hospital from July 2020 to June 2022 were retrospectively analyzed and the patients were included in traditional group.The clinical data of 55 patients who underwent modified musculocutaneous flap combined with orbital septum fixation in the author's hospital during the same period were retrospectively analyzed and the patients were enrolled as combined group.The clinical indicators and clinical efficacy[eyelidbag degree score,lower eyelid skin wrinkle(Fitzpatrick wrinkle grading score),lacrimal groove(Barton grading score)]were compared between the two groups,and the satisfaction of patients and occurrence of complications were statistically analyzed.Results The surgical time in combined group was longer than that in traditional group while the recovery time of eye appearance and hospital stay were shorter than those in traditional group(all P<0.05).At 2 months after surgery,the eyelidbag degree score,Fitzpatrick score and Barton score in both groups were decreased compared with those before treatment,and the scores in combined group were lower than those in traditional group(all P<0.05).Postoperative satisfaction of patients in combined group was higher compared with that in traditional group,and the incidence rates of complications were lower than those in traditional group(all P<0.05).Conclusion Modified musculocutaneous flap combined with orbital septum fixation has a significant effect during pouch plastic surgery,and it can promote the postoperative recovery,enhance the patient satisfaction and reduce the occurrence of complications.