改良三点式重睑治疗上睑皮肤松弛.doc

改良三点式重睑治疗上睑皮肤松弛[摘要]目的：探索治疗上睑皮肤松弛的新方法。方法：159例重睑，其中A组96例采用传统重睑手术方式，B组63例患者采用改良三点式重睑术单纯切除上睑皮肤松弛部分，完全保留眼轮匝肌，于重睑线内中外三点处各切开眼轮匝肌约2mm。于肌肉切口下去除睑板前组织，该三点处连睑板缝合皮肤，其余皮肤间断缝合。结果：A组96例患者重睑形态满意，术后6例患者术后出现切口瘢痕增生及重睑形态不满意等并发症，再次修复后形态满意，术后恢复时间（3±0.3）月。B组63例患者重睑形态满意， 2例患者术后2个月时出现重睑消失，再次修复后形态满意，术后恢复时间1±0.5月。结论：改良三点式重睑可有效改善上睑皮肤松弛，并且较传统手术方式恢复更快。 [关键词]三点式；重睑；手术方法；上睑皮肤松弛；眼轮匝肌 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2012）01-0031-02 The reforming Three-Mini insicion blepharoplasty for treatment of cutis laxa of upper eyelid FU Na,ZENG Dong,ZUO Jun,YU Wen-lin,XIONG Jie,TANG Jian-bing,ZHANG Bin,LI Qin (Department of Plastic Surgery,Guangzhou General Hospital of Guangzhou Military Region,Guangzhou 510010,Guangdong,China） Abstract: Objective To search a new treatment for cutis laxa of upper eyelid. Methods 159 cases double eyelid plasty,96 cases of A group underwent traditional double eyelid plasty,the other 63 cases of B group underwent the reforming Three-Mini insicion blepharoplasty to remove the lax section of upper eyelid simplely,and keep the orbicularis oculi wholly,cut open the orbicularis oculi about 2mm at three points respectively which are located on the double eyelid line.To remove the pretarsal tissue under the cut of orbicularis oculi,and suture the skin together with tarsus at the three points,the remaining skin should be sutured discontinuously. Results 96 cases of A group required a satisfying shape after double eyelid plasty,complications such as hypertrophic scar and dissatisfied shape happened on 6 cases after surgery who acquired a satisfying shape after repairing again,the recovery time is 3±0.3 months.63 cases of B group acquired a satisfying shape,only 2 get a postoperative complication whose double eyelid line disappeared 2 months later,but also acquired a satisfying shape after repairing again . the recovery time is (1±0.5)months. Conclusion The reforming Three-Mini insicion blepharoplasty could improve the cutis laxa of upper eyelid effectively. Key wo