摘要
目的探究横切法内眦赘皮矫正术+眼轮匝肌-上睑提肌固定重睑成形术的疗效及安全性。方法选取我院2018年1月~2019年12月双侧单睑伴内眦赘皮96例,根据手术方案不同分组,各48例。对照组行倒L成形法+重睑成形术,观察组行横切法内眦赘皮矫正术+重睑成形术。对比两组并发症发生率、术前、术后7 d、术后3个月内眦赘皮间距(MED)、内眦间距(ICD)、睑裂长度(PFW)及术后7 d、术后3个月温哥华瘢痕量表(VSS)、POSAS疤痕评价量表评分。结果术后7 d、术后3个月两组MED、ICD低于术前,且观察组低于对照组,两组PFW高于术前,且观察组高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);术后7 d、术后3个月观察组VSS评分、POSAS评分低于对照组(P<0.05)。结论横切法内眦赘皮矫正术+眼轮匝肌-上睑提肌固定重睑成形术治疗双侧单睑伴内眦赘皮患者,可有效缩小MED、ICD,增大PFW,减少瘢痕面积,且并发症少,安全性高。
Objective To explore the efficacy and safety of transverse epicanthus correction and double eyelid plasty with orbicularis oculi-levator palpebrae superioris fixation.Methods From January 2018 to December 2019,96 patients with bilateral unilateral eyelid with epicanthus were selected in our hospital,and they were divided into different groups according to different surgical procedures,with 48 cases in each group.The control group was treated with inverted L-plasty and double eyelid plasty,and the observation group was treated with transverse epicanthus correction and double eyelid plasty.The complication rate,the intercanthal epidermal distance(MED),intercanthal distance(ICD),and palpebral fissure width(PFW)before operation,7 days after operation,and 3 months after operation,Vancouver Scar Scale(VSS)and POSAS Scar Evaluation Scale scores at 7 days after operation and 3 months after operation were compared between the two groups.Results At 7 days after operation and 3 months after operation,the MED and ICD of the two groups were lower than those before the operation,and the observation group was lower than the control group,the PFW of the two groups was higher than that before operation,and the observation group was higher than the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05);the VSS score and POSAS score of the observation group were lower than those in the control group at 7 days and 3 months after surgery(P<0.05).Conclusion Transverse epicanthus correction+double eyelid plasty with orbicularis oculi-levator palpebrae superioris fixation in patients with bilateral single eyelid with epicanthus can effectively reduce MED and ICD,increase PFW,reduce scar area,with fewer complications and high safety.
作者
代雪莲
张永红
李存涛
DAI Xue-lian;ZHANG Yong-hong;LI Cun-tao(Dermatology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Henan Province,450006,China)
出处
《中国医疗美容》
2020年第12期13-18,共6页
China Medical Cosmetology
关键词
单睑伴内眦赘皮
横切法内眦赘皮矫正术
重睑成形术
Bilateral single eyelid with epicanthus
Transverse epicanthus correction
Double eyelid plasty
