经结膜超微孔入路睑袋整形术联合阶梯式修复治疗方案的临床应用效果分析

Analysis of Clinical Application Effect of Perconjunctival Ultramicroscopic Eyelid Plasty Combined with Step Repair Treatment

目的:探讨经结膜超微孔入路睑袋整形术联合阶梯式治疗方案对中老年患者的临床效果。方法:回顾性分析2019年9月-2023年1月期间于武汉、青岛、郑州三地就诊的685例要求睑袋整复的中老年患者临床资料,探讨应用经结膜超微孔入路睑袋整形术、结合术中眶隔脂肪移植填充泪沟,术后3周,随访中根据皮肤改善情况与患者诉求选择行无创、微创或局部皮肤抗衰老等联合治疗方案进一步修复调整,这一系列综合治疗方案在中老年睑袋整复中的应用效果。结果:一期经结膜超微孔睑袋整形术结合术中眶隔脂肪移植填充泪沟治疗,患者术后满意率85.3%,再次调整手术后整体满意率为93.4%。术后整体效果好,且无严重并发症发生。结论:经结膜超微孔入路睑袋整形术联合阶梯式修复调整治疗方案创伤小、恢复快,综合美学修复效果良好,患者易于接受,具有很好的可操作性及临床实施价值。

Objective To investigate the clinical effect of the combination of step-type treatment with transconjunctival ultramicrohole approach for lower eyelid bags plastic surgery in middle-aged and elderly patients.Methods Clinical data of 685 middle-aged and elderly patients who requested eyelid bag reconstruction from Wuhan,Qingdao and Zhengzhou from September 2019 to January 2023 were retrospectively analyzed,and the application of eyelid bag plastic surgery via ultramicroscopic conjunctival approach combined with intraoperative orbital septum fat transplantation to fill lacrimal groove was discussed.During the follow-up,according to the improvement of the skin and the demands of the patients,non-invasive,minimally invasive or local skin anti-aging combined treatment schemes were selected to further repair and adjust,and the application effect of this series of comprehensive treatment schemes in the rehabilitation of eyelid bags in the middle-aged and elderly people was demonstrated.Results The postoperative satisfaction rate of the patients was 85.3%,and the overall satisfaction rate was 93.4%after readjustment.The overall postoperative effect was good,and no serious complications occurred.Conclusion The treatment plan of eyelid bag plastic surgery combined with step repair and adjustment through conjunctival ultra-micro pore approach has the advantages of less trauma,quick recovery,good comprehensive aesthetic repair effect,easy acceptance by patients,and good operability and clinical implementation value.