组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2017, Vol. 13 ›› Issue (1): 40-56.doi: 10.3969/j.issn.1673-0364.2017.01.011

• 论著 • 上一篇    下一篇

组合式双梭形皮肤切口防止下睑松弛矫正术后下睑外翻

李贞，徐庆   

  1. 上海中医药大学附属岳阳中西医结合医院眼科
  • 发布日期:2020-07-23

Clinical Observation of the Combined Double Shuttle Like Incision in the Prevention of Lower Eyelid Ectropion after Blepharoplasty

LI Zhen,XU Qing   

  • Published:2020-07-23

摘要： 目的 针对采用传统切口进行下睑皮肤松弛矫正术后易发生外眦部睑球分离,甚至外翻的现象,探索一种更为安全可靠的改良手术切口。方法 回顾分析2008年6月至2016年10月接受下睑皮肤松弛矫正术的患者338例,分别采用组合式双梭形皮肤切口(n=143)及传统切口(n=195),比较两组患者术后的并发症情况。结果 两组患者术后下睑松弛均得到矫正。采用组合式双梭形皮肤切口的患者术后未发生睑外翻及睑球分离;采用传统手术切口的患者中,睑外翻及睑球分离的发生率分别为1.03%和4.87%。两组差异显著(P<0.05)。结论 组合式双梭形皮肤切口能明显降低下睑睑球分离乃至外翻的发生率,安全可靠,值得临床推广应用。

关键词: 下睑松弛, 组合式双梭形皮肤切口, 下睑外翻

Abstract: Objective To explore a modified incision to solve the separation and lower eyelid ectropion after traditional blepharoplasty. Methods From June 2008 to October 2016, 338 cases received blepharoplasty were retrospectively analyzed. The combined double shuttle like incision (n=143) and traditional incision (n=195) were both used to correct the lower eyelid laxity. The postoperative complications were compared. Results The lower eyelid laxity was corrected in both two groups. No lower eyelid ectropion and separation were observed in the combined double shuttle like incision group, while the incidence of lower eyelid ectropion and separation in the traditional incision group were 1.03% and 4.87% respectively. There was significant difference between the two groups (P<0.05). Conclusion The combined double shuttle like incision can reduce the incidence of separation and lower eyelid ectropion. It is safe and reliable, and is worthy of clinical application.

Key words: Lower eyelid laxity, Combined double shuttle like incision, Lower eyelid ectropion

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