摘要
目的观察重睑成形术不同术式的手术效果和术后并发症情况。方法选择在我院眼整形科室行重睑成形术的240例患者。随机分为试验甲组,试验乙组,试验丙组。试验甲组的手术方法为埋线法,试验乙组的手术方法为完全切开法,试验丙组的手术方法为三点式小切口缝线法,比较三组患者术后整体效果,满意度,切口愈合,术后感染,术后重睑消失,术后干眼等情况。结果三组患者术后均达到较好的重睑效果,甲组、乙组、丙组的患者满意度分别为95.38%、95.0%及98.95%,差异无显著性(P>0.05)。三组患者术后切口愈合良好,均未发生切口感染,甲组有两名患者术后半年重睑消失,需行完全切开法行重睑成形修复术,乙组完全切开法有1名患者左右重睑宽度稍不对称,半年后行二次重睑修复,有2名老年患者术后干眼症状加重。结论不同术式的重睑成形术术后均能达到较好的手术效果,其中,三点式小切口缝线法因切口小,术中损伤小,术后并发症少,恢复快,具有一定优势。
Objective To observe the effects and complications of double eyelid plasty with different operative methods.Methods A total of 240 patients with double blepharoplasty were selected in the ophthalmic plastic surgery department of our hospital.Randomly divided into test group A,test group B and test group C.The surgical method of group A was embedding double eyelid plasty,the surgical method of group B was complete incision double eyelid plasty,and the surgical method of group C was three-point small incision double eyelid plasty.The overall postoperative effect,satisfaction,wound healing,postoperative infection,postoperative double eyelid disappearance,postoperative dry eye of the patients in the three groups were compared.Result Three groups of patients with postoperative double eyelid achieved good results,The satisfaction of patients in group A,group B and group C were 95.38%,95.0%and 98.95%,respectively,The difference is no significant(P>0.05).three groups of patients with postoperative incision healed well,without incision infection,double eyelid of two patients in group A disappeared half a year after surgery,which need the complete incision to repair blepharoplasty.In group B,one patient underwent complete incision with slightly asymmetrical width of left and right double eyelid,and a second repair of double eyelid was performed half a year later,and two elderly patients had worse symptoms of dry eyes after surgery.Conclusion Different surgical methods can achieve better surgical results after blepharoplasty,among which,the three-point small-incision double eyelid plasty has obvious advantages due to small incision,small intraoperative injury,less postoperative complications and rapid recovery.
作者
邱莹
王贝贝
QIU Ying;WANG Bei-bei(Zhengzhou second hospital,Henan Province,450002,China)
出处
《中国医疗美容》
2019年第12期5-9,共5页
China Medical Cosmetology
关键词
小切口
重睑
埋线法
Small incision
Double eyelid
Embedding method
