改良Hamra睑袋整复术联合灼闭增生血管治疗黑眼圈型下睑眼袋的疗效观察

Observation of the efficiency of the modified Hamra blepharoplasty combined with cauterization of hypertrophic blood vessels on lower eyelid bags with dark circles

目的 观察改良Hamra睑袋整复术联合灼闭增生血管治疗黑眼圈型下睑眼袋的疗效。方法 回顾性分析60例黑眼圈伴下睑眼袋患者的临床资料。根据手术方式的不同,将患者分为改良组(单纯改良Hamra睑袋整复术)、联合组(改良Hamra睑袋整复术联合灼闭增生血管)。采用下睑松弛分级评估两组眼袋改善程度;采用黑眼圈评分评价黑眼圈改善程度;采用下睑皮肤色泽参数评估皮肤色泽改善情况;采用泪沟畸形等级量表评估泪沟改善程度;采用视觉模拟评分评价患者满意度。比较两组并发症发生情况。结果 术后两组眼袋、泪沟畸形较术前均有较大程度改善,但两组间差异无显著性(P>0.05)。与术前相比,术后两组黑眼圈程度、皮肤色泽均有改善,且联合组较改良组改善更显著(P<0.05)。术后联合组满意度高于改良组(P<0.05)。两组并发症总发生率比较,差异无显著性(P>0.05)。结论 改良Hamra睑袋整复术联合灼闭增生血管治疗黑眼圈型下睑眼袋疗效确切,能改善患者下睑眼袋、黑眼圈和泪沟畸形,且并发症较低。

Aim To observe the efficacy of the modified Hamra blepharoplasty with cauterization of the hypertrophic blood vessels on lower eyelid bags with dark circles.Methods The clinical data of 60 patients with lower eyelid bags with dark circles were retrospectively analyzed.The patients were divided into a modified group(modified Hamra blepharoplasty) and a combined group(modified Hamra blepharoplasty combined with cauterization of hypertrophic blood vessels) according to the surgical approaches.The degree of improvement of eye bags in two groups was evaluated by using lowereyelid relaxation grading.The changes of dark circles were evaluated based on visual dark circle score;The improvement of skin appearance were evaluated by using lower eyelid skin color parameters.The improvement of tear trough deformity was evaluated by using tear trough rating scale;Satisfaction were evaluated by using the visual analogue scale.The incidence of complications between two groups were compared.Results After surgery,both groups showed significant improvement in eye bags and tear troughs deformities compared with them before surgery,but there was no significant difference between the two groups(P>0.05).Compared with them before surgery,both groups showed improvement in the degree of dark circles and skin color after surgery,and the combined group showed more significant improvement than the modified group(P<0.05).The postoperative satisfaction of the combined group was higher than that of the modified group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Modified Hamra blepharoplasty combined with cauterization of hypertrophic blood vessels has a definite therapeutic effect on patients with lower eyelid bags with dark circles,and can improve the deformities of lower eyelid bags,dark circles,and tear troughs,with low complications.