评估改良肌皮瓣法结合眼眶隔膜固定在眼睑成形术中的效果

Jie Wang, Longxu Zhou
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摘要

目的探讨改良肌皮瓣法结合眶隔固定术治疗眼袋患者的临床疗效。方法选定的手术方案将 60 例眼袋患者分为两组。一组为对照组,采用传统肌皮瓣法,另一组为观察组,采用改良肌皮瓣法联合眶隔固定术。比较两组患者的一般临床观察指标、治疗效果相关观察指标、术后并发症发生率和疾病复发率。结果观察组的总治疗时间和术后恢复时间明显短于对照组。观察组术后眼袋下垂程度和下眼睑皮肤皱纹评分明显低于对照组。观察组的鼻泪沟、皮肤光泽度和白色美学评分(WES)明显高于对照组。观察组的并发症总发生率和疾病复发率明显低于对照组(P < 0.05)。结论改良肌皮瓣法联合眶隔固定术治疗眼袋患者,可缩短治疗及术后恢复时间,改善眼部及面部美观,降低术后并发症的发生率及复发率,值得推广。
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Evaluation of the Effect of the Modified Myocutaneous Flap Method Combined with Orbital Septum Fixation in Blepharoplasty
Objective: To explore the clinical efficacy of modified myocutaneous flap method combined with orbital septum fixation in treating patients with eye bags. Methods: The selected surgical plan divided 60 patients with eye bags into two groups. One group served as the control group and adopted the traditional myocutaneous flap method, while the other group was the observation group that implemented the modified myocutaneous flap method combined with orbital septum fixation. The general clinical observation indicators, treatment effect-related observation indicators, postoperative complication rates, and disease recurrence rates were compared between the two groups. Results: The total treatment time and postoperative recovery time of the observation group were significantly shorter than those of the control group. The degree of postoperative eye bag ptosis and lower eyelid skin wrinkle scores of the observation group were significantly lower than those of the control group. The nasolacrimal groove, skin glossiness, and White Aesthetics Score (WES) of the observation group were significantly higher than those of the control group. The total incidence of complications and disease recurrence rate in the observation group were significantly lower than those in the control group (P < 0.05). Conclusion: The modified myocutaneous flap method combined with orbital septum fixation for patients with eye bags can shorten the treatment and postoperative recovery time, improve the aesthetics of the eyes and face, and reduce the occurrence and recurrence rates of postoperative complications, thus it is worthy of promotion.
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