间断埋线法联合切开法重睑成形术的应用体会.docVIP

间断埋线法联合切开法重睑成形术的应用体会 　　[摘要]目的：探索一种适用范围广、效果持久、术后恢复快、形态自然的重睑成形术式。方法：传统重睑成形术间断埋线法与切开法相联合，根据患者个体差异，进行个性化设计。结果：本组127例，随访术后3个月～1年，107例术后72h肿胀消退明显，14d基本消肿；112例重睑线明显，形成的重睑皱褶自然、流畅，8例重睑线变浅，5例重睑消失。结论：间断缝合埋线法联合切开法经过改进后的重睑形成术，是一种适用人群广，效果稳定，结果比较满意的术式。 　　[关键词]重睑术；间断埋线法；切开法 　　[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2015）10-0024-03 　　Experience on clinical application of combining discontinuous buried suture method with incision method in double eyelid operation 　　HOU Xiu-ying，AN Jun-hong，QIN Xuan，DUAN Ce-zhong，LIU Na，WANG Juan，ZHANG Bao-lin 　　（Department of Plastic Surgery，The First Affiliated Hospital of Shanxi Medical University，Taiyuan 030001，Shanxi，China） 　　Abstract： Objective To explore a new method of double eyelid operation with extensive application scope，lasting effect，faster recovery and natural form. Methods Design personalized double eyelid operation by combining traditional discontinuous buried suture method with incision method and drawing on each others strength. Results 127cases were operated with this method and all patients were followed up from 3 to 12 months.Among them，the swelling of 107 cases went down obviously within 72 hours after the operation and totally subsided in 14 days.The double eyelids line in 112 cases were clear and natural.8 patients’ double-eyelid became unclear and that of 5 patients disappeared. Conclusion Combining traditional discontinuous buried suture method with incision method in double eyelid operation is simple and effective，which is deserved to have more applications. 　　Key words：blepharoplasty；discontinuous buried suture method；incision method 　　我国属于亚洲东方人种，单睑者居多，据统计，汉族人双侧单睑的发生率约为41%，男性高于女性，儿童高于成人[1]。重睑从美学的角度考虑，睑部形态其长宽比例比单睑更符合黄金分割点，从而产生美感。传统的重睑手术方式有切开法、埋线法、缝线法，针对东方人单睑的先天不足状况，很多美容整形专家创新了多种方法，提高了重睑成形术的效果，但是随着社会潮流的发展，对美容整形外科医生提出了更高的要求，按传统常规的技术完成手术往往不能达到患者的消肿快、恢复快、效果持久，外形自然的美容效果。笔者针对不同求美者，利用传统重睑手术方式间断缝合埋线法与切开法相联合的方法，获得了较佳的手术效果，对于已掌握传统重睑手术方式的美容整形医师来说，方法简便，宜于临床实施。 　　1 资料 　　1.1 临床资料 　　本组收集2009年5月～2014年6月，采取传统重睑手术间断缝合埋线法与切开法相联合的方式进