眼輪匝肌瓣聯(lián)合眶隔脂肪瓣矯正上瞼凹陷的臨床應(yīng)用及美學(xué)效果分析

1、眼輪匝肌瓣聯(lián)合眶隔脂肪瓣矯正上瞼凹陷的臨床應(yīng)用及美學(xué)效果分析摘要 目的：探討眼輪匝肌瓣聯(lián)合眶隔脂肪瓣矯正上 瞼凹陷的臨床應(yīng)用及美學(xué)效果。 方法：選擇 2016 年 7 月 -2017 年 7 月本院收治的 100 例上瞼凹陷患者隨機(jī)分為對(duì)照組（ 50 例）和觀察組（ 50 例）。對(duì)照組給予傳統(tǒng)眼瞼肌瓣矯正術(shù)治 療，觀察組給予眼輪匝肌瓣聯(lián)合眶隔脂肪瓣矯正術(shù)治療。觀 察比較兩組患者治療效果及治療滿意度。結(jié)果：治療后，觀 察組患者重瞼線自然流暢，上瞼凹陷明顯改善，美學(xué)效果顯 著提高。觀察組總有效率為 94.0%顯著高于對(duì)照組的 78.0%， 差異有統(tǒng)計(jì)學(xué)意義（PvO.05）;觀察組總滿意度為 96.

2、0%明顯 高于對(duì)照組的78.0%,差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論： 眼輪匝肌瓣聯(lián)合眶隔脂肪瓣矯正上瞼凹陷效果顯著，可明顯 提高患者滿意度及美學(xué)效果，值得在臨床中應(yīng)用推廣。關(guān)鍵詞 眼輪匝肌瓣； 眶隔脂肪瓣； 上瞼凹陷； 矯正術(shù)； 美學(xué)效果中圖分類號(hào) R622 文獻(xiàn)標(biāo)志碼 B 文章編號(hào) 1008-6455（ 2018） 04-0040-03Analysis of Clinical Application and Esthetic Effect inPatients with Sunken Upper Eyelid by Orbicularis Muscle Flap Combine

3、d with Septum Orbitale Fat Flap MethodZHU Jia-wei（ Department of Burn and Plastic Surgery ，Suqian People' s Hospital， Suqian 223800， Jiangsu， China）Abstract ： Objective To study clinical application and esthetic effect in patients with sunken upper eyelid by orbicularis muscle ?ap combined with

4、septum orbitale fat flap method. Methods 100 cases of patients with sunken upper eyelid were divided into the observation group （50 cases） and the control group （50 cases） . The control group was given traditional blepharoplasty while the observation group was received orbicularis muscle flap combin

5、ed with septum orbitale fat flap. The treatment effect and satisfaction of the two groups were observed and compared. Results After treatment ， the eyelid line of the patients in the observation group was naturally smooth ， the upper eyelid depression improved significantly ， and the aesthetic effec

6、t was significantly improved. The total effective rate of the observation group was 94.0%， which was significantly higher than that of the control group（ 78.0%）， the difference was statistically significant （P<0.05） . The total satisfaction rate of the observation group was 96.0%， which was signi

7、ficantly higher than that of the control group （78.0%） . Conclusion Orbicularis oculi muscle flap combined with orbital septal fat flap to correct the upper eyelid depression effect is significant ， can significantly improve patient satisfaction and aesthetic effect ， improve patient quality of life

8、 ， it is worth in the clinical application.Key words： orbicularis muscle flap ； septum orbitale fat flap； sunken upper eyelid ； orthodontic surgery ； esthetic effect上瞼凹陷是整形美容科常見(jiàn)的一種面部缺陷病，其主要 指患者眼瞼皮膚松弛下垂及上瞼眶下緣出現(xiàn)嚴(yán)重凹陷1 。研究發(fā)現(xiàn)，上瞼凹陷主要是由上眼瞼脂肪萎縮，導(dǎo)致患者眼眶 脂肪無(wú)充足容量引起 2 。其最直接的結(jié)果是， 皮膚彈性下降， 眼瞼部出現(xiàn)畸形，嚴(yán)重影響患者生活質(zhì)量3 。目前，臨床常采用傳統(tǒng)眼瞼肌瓣矯正術(shù)治療，但是此方法不能形成完美重 瞼，甚至可造成重瞼嚴(yán)重畸形