外段一点埋线术治疗原有重睑线中青年上睑松弛.docVIP

外段一点埋线术治疗原有重睑线中青年上睑松弛[摘要]目的:介绍外段一点埋线术治疗原有重睑线的中青年上睑松弛的手术方法。方法:在患者原有重睑线中外1/3交界处上方2mm的位置标记手术埋线的部位,应用6-0无损伤缝合线行真皮与眶隔或睑板之间埋线。结果:2008年6月～2009年12月治疗原有重睑线的中青年上睑松弛患者32例,术后重睑线形态良好,上睑均无明显红肿。29例患者术后随访3个月～1年,上睑明显年轻化。结论:外段一点埋线术是治疗原有重睑线的中青年上睑松弛的一种简单有效方法。 [关键词]上睑松弛;埋线重睑术 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)10-1456-02 Correction of blepharochalasis in middle-aged and young double-eyelid patients with thread-burying at one point in lateral upper lid AI Hong-mei1,OUYANG Tian-xiang2,YAN Ying-jun1 (1.Department of Plastic Surgery,Meitan General Hospital,Beijing 100028,China;2.Department of Plastic Surgery,Xinhua Hospital,Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China) Abstract:ObjectiveTo introduce a technique of thread-burying at one point in lateral upper lid for correction of blepharochalasis in middle-aged and young double-eyelid patients.MethodsThe locationt for thread-burying was designed at 2 millimeters above middle and lateral 1/3 point of double-eyelid. Then 6-0 non-traumatic suture was buried between dermis and supraorbital or tarsi.Results32 patients were treated with this technique since June 2008 to December 2009. All patients reported fine double-eyelid configuration and no hematoma formation. 29 patients were followed up for 3 months to 1 year and reported obvious juvenescence results of upper lid.ConclusionThread-burying at one point in lateral upper lid is a simple and effective technique for correction of blepharochalasis in middle-aged and young double-eyelid patients. Key words:blepharochalasis; thread-burying technique 随着年龄的增长,上睑皮肤出现不同程度的松弛、下垂,影响美观,中青年要求做上睑美容手术者逐渐增多。传统的切开法仍为比较理想的方法,但术后上睑肿胀明显,短时间内重睑线不自然,部分原有重睑线形态良好的上睑松弛患者不能接受。因此我们寻求一种损伤小,恢复快的手术方式。2008年6月～2009年12月,我们对32例原有重睑线的中青年上睑松弛患者行外段一点埋线手术,取得满意的效果,现介绍如下。 1临床资料 本组32例患者,女性29例,男性3例,年龄30～45岁。所有患者均为先天性重睑,重睑线形态良好,近3～5年来上睑松弛,既往无上睑手术史。 2手术方法 2.1 术前设计:术前设计埋线位置是手术的关键步骤之一,受术者取坐位、平视,手持镜子与眼睑水平位,共同参与重睑设计。瞩其闭眼,先在患者原有重睑线中外1/3交界处的上方2毫米,距离睑缘约6～8mm处用牙签轻压,