眶肌筋膜联合眼轮匝肌悬吊行睑袋整形术临床效果探讨

陈凯 唐智深 熊琴

[摘要]目的：探究眶肌筋膜提紧联合眼轮匝肌悬吊行睑袋整形术的临床效果。方法：选取2018年1月-2019年4月于笔者医院行睑袋整形术的120例患者进行回顾性分析，其中仅采用眼轮匝肌悬吊睑袋治疗的54例患者为对照组，采用眶肌筋膜提紧联合眼轮匝肌悬吊睑袋治疗的66例患者为观察组。比较两组疗效总有效率、眼部指标变化、不良反应发生率及患者满意度。结果：观察组治疗总有效率、患者满意度显著高于对照组，观察组睑袋程度、下睑皮肤皱纹评分及不良反应发生率显著低于对照组，差异有统计学意义（P<0.05）。结论：眶肌筋膜提紧联合眼轮匝肌悬吊行睑袋整形术具有较好的效果，可降低并发症发生率，提升患者满意度。

[关键词]眶肌筋膜;眼轮匝肌;睑袋整形术;疗效;不良反应;满意度

[中图分类号]R622    [文献标志码]A    [文章编号]1008-6455（2021）03-0014-03

Effect of Orbital Muscle Fascia Combined with Orbicularis Suspension Pouch in Lower Eyelid Blepharoplasty

CHEN Kai1，TANG Zhi-shen1，XIONG Qin2

（1.Department of Ophthalmology，West China Guangan Hospital，Sichuan University，Guangan 638500，Sichuan，China;

2.Department of Plastic and Aesthetic Burns，Dazhou Central Hospital，Dazhou 635000，Sichuan，China）

Abstract： Objective  To investigate the application effect of orbital muscle fascia lifting and tightening combined with orbicularis suspension pouch in patients with lower eyelid blepharoplasty. Methods  120 patients who underwent lower eyelid blepharoplasty in our hospital from January 2018 to April 2019 were selected for retrospective analysis. Among them， 54 patients only treated with orbicularis suspension pouch were included in the control group while 66 patients treated with orbital muscle fascia lifting and tightening combined with orbicularis suspension pouch were included in the observation group. The total response rate， changes in eye indexes， incidence of adverse reactions and patients satisfaction were compared between the two groups. Results  The total effective rate and patient satisfaction of the observation group were significantly higher than those of the control group， and the degree of blepharoplasty， lower eyelid wrinkles score and incidence of adverse reactions of the observation group were significantly lower than those of the control group， the differences were statistically significant（P<0.05）. Conclusion  The effect of orbital muscle fascia lifting and tightening combined with orbicularis suspension pouch is good in the treatment of patients with lower eyelid blepharoplasty. It can prevents complications and improves patients satisfaction.

Key words： orbital muscle fascia; orbicularis suspension pouch; lower eyelid blepharoplasty; curative effect; adverse reactions; satisfaction

眼周皮膚松弛是随年龄增长而出现的衰老表现，不仅会影响面部美观，且随年龄持续增长，睑袋会出现组织退行性改变，可引发暴露性结膜炎、白内障等眼部疾病[1-2]。随着医疗美容行业的不断发展和普及，越来越多患者选择睑袋整形术。以往临床上采用方法是摘除眶下疝出脂肪，提紧眼轮匝肌，符合面部美学要求，但其术后效果不够持久，由于切除组织过多可形成下睑外翻等并发症[3]。为寻找更加有效的整形手术方法，有学者对眶隔组织进行选择性释放，并加强前壁组织，可有效矫正睑袋[4]。本研究旨在探究眶肌筋膜提紧联合眼轮匝肌悬吊行睑袋整形术的临床效果，报道如下。

1  资料和方法

1.1 一般资料：选取2018年1月-2019年4月于筆者医院行睑袋整形术的120例患者临床资料进行回顾性分析，其中仅采用眼轮匝肌悬吊的54例患者为对照组，采用眶肌筋膜提紧联合眼轮匝肌悬吊的66例患者为观察组。……