摘要
目的 探讨剥离弓状缘眼轮匝肌手术整复伴有泪槽和睑颊沟的眼袋临床效果.方法 对80例伴有泪槽和睑颊沟的眼袋患者,按照手术方法不同分为A组与B组各40例,分别进行剥离弓状缘眼轮匝肌手术与真性眶内脂肪过多去脂手术,进行整复治疗,对比分析两组患者的手术后整复满意度以及回访复发率.结果 治疗后,A组满意37例（92.5％）,基本满意3例（7.5％）,不满意0例（0.0％）;B组满意28例（62.5％）,基本满意9例（22.5％）,不满意3例（15.0％）,两组临床疗效差异有统计学意义（Z=18.481,P＜0.01）.随访：A组出现复发1例（2.5％）,B组2年后出现复发7例（17.5％）,两组术后复发率差异有统计学意义（Z=7.314,P＜0.05）.结论 采用剥离弓状缘眼轮匝肌手术法整复伴有泪槽和睑颊沟的眼袋,术后整复满意度高,复发率低,值得临床上进一步推广应用.
Objective To explore divest arcuate edge orbicularis muscle surgery reconstructive treatment of the symptoms of clinical efficacy and recovery.Methods 80 patients with tear trough and palphromalar groove pouch,according to the operation method,were divided into group A and group B.The patients received stripped arcuate margin of orbicularis oculi muscle operation and true orbital fat too much fat operation,operation treatment,respectively.The satisfaction and revisit the rebound rate of the two groups after surgery were compared.Results Of 40 patients in A group,37 cases （92.5％）were satisfied with the treatment,general satisfaction in 3 cases （7.5％）,0 case （0.0％） was not satisfactory.In B group,28 cases （62.5％）were satisfied with the treatment,general satisfaction in 9 cases （22.5％）,3 cases （15.0％）were not satisfactory.The clinical efficacy between the two groups was significantly different（Z =18.481,P ＜ 0.01）.During follow-up,in A group,one case （2.5％）relapsed.In B group,7 cases （17.5％） relapsed after 2 years.The postoperative recurrence rate between the two groups had significant difference （Z =7.314,P ＜ 0.05）.Conclusion For patients with tear trough and palpbromalar groove pouch,treatment by stripping arcuate margin of orbicularis oculi muscle operation method can effectively correct the tear trough and palabromalar groove deformity postoperative reduction performance,has high degree of satisfaction,the recurrence rate is low,the clinical effect is significant,it is worthy of further clinical application and research.
出处
《中国基层医药》
CAS
2014年第11期1658-1660,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
眼睑疾病
外科
整形
泪槽
睑颊沟
眼轮匝肌
Eyelid diseases
Surgery,plastic
Tear trough
Palpbromalar groove
Orbicularis oculi muscle
