单切口微创重睑术临床的应用的探讨.docVIP

单切口微创重睑术临床的应用的探讨 　　[摘要]目的：探讨单切口微创重睑术的临床应用价值。方法：自2012年10月以来共49例（98眼）17～30岁单睑女性患者，于重睑线中段行单点微创小切口，经此切口去除肥厚的眼轮匝肌和多余的眶隔脂肪，将切口边缘皮肤缝合于睑板前筋膜上，最后在重睑两侧分别行压线法缝合一针，6～7d拆线。结果：49例（98眼）术后随访3～24个月，所有患者均在1～2月内消肿，重睑线形成持久、自然，且瘢痕不明显，患者满意度高。结论：单切口微创重睑术具有创伤小、恢复快、效果可靠、持久等优点，得到了越来越多整形美容外科医师的认可，值得在临床推广使用。 　　[关键词]重睑手术；微创；单切口 　　[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2015）10-0018-03 　　The double eyelid plasty with single minimally invasive incision 　　ZHU Xue-feng1，DENG Jing-cheng2，JIANG Zhao-hua2，DING Jia-yue2 　　（Department of Medical Aesthetics，Lishui People’s Hospital，Lishui 323000，Zhejiang，China；2.Department of Reconstructive Surgery，The Ninth Affiliated Hospital of Medical College，Shanghai Jiaotong University，Shanghai 200011，China） 　　Abstract： Objective To discuss clinic significance of double eyelid plasty with single minimally invasive incision. Methods Since October 2012，49 cases（98 eyes）aged 17 to 30 years with single eyelid were treated by double eyelid plasty with single minimally invasive incision and followed prospectively.During the operation first cut a short incision about 1cm in the middle of the double eyelid line，and remove the pachyntic orbicularis muscle and redundant orbit fat through this incision， then suture the incision on the pretarsal fascia and make a needle with sutures at the two sides of the incision along the double eyelid line. Results 49 cases（98 eyes）were followed up for 3 months to 24 months，all swellings were recovered for 1 to 2 months after operation with lasting and natural double eyelid shape and slight scars.The satisfaction of all patients was high. Conclusion Double eyelid plasty with single minimally invasive incision has been more and more recognized by plastic and aesthetic surgeons for the advantage of minor damage，short swelling period and permanent effects.It should be widely spread in clinic. 　　Key words：double eyelid plasty；minimally invasive； single incision 　　重睑术是目前整形美容外科中开展最多的手术之一，归纳起来可分为3种术式：切开法，缝线法，埋线法[1]。其中切开重睑术以适应证广，重睑美观、持久而广泛应