目的 对改良切开重睑术的远期效果进行观察总结。方法 以传统切开法的重睑成形术为基础,结合Park法重睑术式,保留切口下唇睑板前眼轮匝肌,并使之与睑板上缘形成牢固的黏连。结果 本组共67例,术后随访1~1.5年,术后效果均较满意,无明显并发症。结论 此改良重睑成形术保持了眼轮匝肌的完整性,术后消肿较快且无“台阶感”,重睑形态自然,效果持久,值得临床推广应用。

Objective To summarize the long-term outcome after modified double eyelid blepharoplasty. Methods On the basis of the traditional upper blepharoplasty, using Park method of blepharoplasty to retain the orbicularis oculi muscle of the inferior incision margin above the tarsus, which can be firmly tied down with the superior margin of the tarsus. Results All 67 patients were treated with this method, and followed up for 1 to 1.5 years. All patients were satisfied with the long-term outcome. No complication was observed. Conclusion The modified double eyelid blepharoplasty can keep the connection of the orbicularis oculi muscle anatomically, which can reduce the upper eyelids edema rapidly and make the radian of the double eyelids natural and longer-lasting. So this technique is worthy of application and promotion in clinic.