内眦韧带的解剖研究及其在内眦赘皮矫正术中的应用.pdf

中国美容医学2009年11月第l8卷第 11期 ChineseJournalofAestheticMedicine．Nov．2009．Vo1．18．No．Il ·论著 · 内眦韧带的解剖研究及其在内眦赘皮矫正术中的应用 王 ，柳大烈，陈 兵，王竞鹏，安阳，乔锋丽 (南方医科大学珠江医院整形科 广东 广州 510282) [摘要]目的：通过解剖观察测量和组织学观察内眦部解剖结构，探寻内眦赘皮矫正术术后并发症产生原因和可能的解决办法 方法：对9具尸头内眦部进行解剖观察并进行测量；对内眦韧带标本纤维走形进行组织学观察。结果：内眦韧带前支平均长 0．834cm，上支平均长0．641cm，前支止点距内眦动静脉为0．079cm，前支起点距降眉肌为0．744cm。结论：内眦赘皮是由内眦韧 带至皮肤纤维连接及眼轮匝肌错构形成，内眦赘皮矫正术应充分注意内眦赘皮产生的解剖原因。 [关键词]内眦韧带；内眦赘皮；内眦赘皮矫正术 [中图分类号]R322．9+1 [文献标识码]A [文章编号]1008—6455(2009)1卜1635—03 Anatomicstudyofmedialcanthalligamentand itsapplicationinEpicanthoplasty WANG Yang，LIUDa—lie，CHEN Bing，WANGJing—peng，ANYang，QIAO Feng-li ((DepartmentofPlasticSurgery，ZhujiangHospital，SouthernMedicalUniversityGuangzhou510282，Guangdong，China) Abstract：ObjectiveThroughtheanatomygrossdissection，measurementandhistologicexaminationweretakenon medialcanthalligament(MCL)whichwouldexplorethereasonaboutthecomplicationofepicanthoplasytandfindthe possible method to resolve it． Methods Gross dissection were performed on the mediaIcanthaIregion and measurementsofthemedialcanthalregionweremadeon9preserved cadaver．The courseofthefibersofthemediaf cantha}ligamentwasobserved through histologicalexamination Results Theanteriorbranch oflhemedialcanthal ligamentaveraged8．34mm inlength．Thesuperiorbranchofthemedialcanthalligamentaveraged6．41mm inlength． The distance frOm the insertion ofthe anteriorbranchofthe mediaIcanthalIigamentto the angularartery and the angularvein was 0_79mm The distance fr0m the impetus ofthe anteriorbranch ofthe mediafcanthaIIigamentl0 depressorsuperciliiwas744mm Conclusion EpicanthuswasconfusedlyanddisorderlycomposedofthefibersfrOm themedialcanthalligamenttotheskinandtheorbicularisoculi．Thereasonofepicanthusshouldbetakenattentioninto theepicanfhOpIasty． Keywords：medialcanthalligament(mc1)；epicanthus；