刘元媛 郭忠梁 郭丽娟

[摘要]目的：探讨重睑成形术三种手术方法的临床效果，及其并发症发生情况。方法：选取2018年12月-2019年12月于笔者医院行重睑成形术的就医者108例。根据手术方法分为传统切开法组、Park切开法组、改良切开法组，每组36例。记录三组手术时间、术中出血量、术后恢复时间。随访6个月，观察三组术后重睑效果、并发症发生情况及满意度情况。结果：Park切开法组与改良切开法组手术时间均短于传统切开法组，且改良切开法组手术时间短于Park切开法组，差异有统计学意义（P<0.05）。Park切开法组与改良切开法组重睑变浅发生率均低于传统切开法组，且改良切开法组重睑变浅发生率低于Park切开法组，差异有统计学意义（P<0.05）。改良切开法组并发症总发生率（5.56%）均低于传统切开法组（25.00%）、Park切开法组（22.22%），差异有统计学意义（P<0.05）。改良切开法组总满意度（97.22%）均高于传统切开法组（77.78%）、Park切开法组（83.33%），差异有统计学意义（P<0.05）。结论：与传统切开法和Park切开法比较，改良切开法在重睑成形术中具有更佳的效果，可缩短手术时间，减少并发症，提高满意度，值得临床大力推广。

[关键词]重睑成形术;传统切开法;Park切开法;改良切開法;临床效果;并发症

[中图分类号]R622    [文献标志码]A    [文章编号]1008-6455（2021）06-0053-03

Comparison of Clinical Effects and Complications of Three Kinds of Blepharoplasty

LIU Yuan-yuan，GUO Zhong-liang，GUO Li-juan

（Department of Medical Cosmetology，Suining Central Hospital， Suining 629000，Sichuan，China）

Abstract： Objective  To investigate the clinical effect and complications of three kinds of blepharoplasty. Methods  Total of 108 patients who underwent double eyelid plasty in our hospital from December 2018 to December 2019 were selected. According to the surgical method， all patients with blepharoplasty were divided into the traditional incision method group （n=36）， the Park incision method group （n=36）， and the modified incision method group （n=36）. The operation time， intraoperative blood loss， and postoperative recovery time of the three groups were recorded. All the patients with double eyelid plasty were followed up for 6 months， the effect of double eyelid， the occurrence of complications and satisfactions in the three groups were observed. Results  The operation time of the Park incision method group and the modified incision method group was shorter than that of the traditional incision method group， and the operation time of the modified incision method group was shorter than that of the Park incision method group， and the differences were all statistically significant （P<0.05）. The incidence of double eyelid shallowing in the Park incision method group and the modified incision method group was lower than that in the traditional incision method group， and the incidence of double eyelid shallowing in the modified incision method group was lower than that of the Park incision method group （P<0.05）. The total occurrence of complications in the modified incision method group （5.56%） was lower than that in the the traditional incision method group （25.00%） and the Park incision method group （22.22%）， and the differences were all statistically significant （P<0.05）. The total satisfaction of the modified incision method group （97.22%） was higher than that of the traditional incision method group （77.78%） and the Park incision method group （83.33%）， and the difference were all statistically significant （P<0.05）. Conclusion  Compared with the traditional incision method and the Park incision method， the modified incision method has a better clinical effect in blepharoplasty， which can shorten the operation time， reduce the occurrence of complications， and improve satisfaction， which is worthy of clinical promotion.

Key words： blepharoplasty; traditional incision method; Park incision method; modified incision method; clinical effects; complications

近年来，随着美容医学技术的持续发展，人们对外貌美观的追求逐渐增多，重睑成形术的应用随之愈发广泛。重睑成形术是通过调节眼睑组织结构从而形成人工上睑皱襞的手术[1]。据调查，在我国，自然重睑人数约为52%～69%，其余人群为单睑、多重睑或一单一重。为了改变外眼形态，重睑成形术在我国普遍开展，已成为整形手术中实施最多的手术[2]。当前，重睑成形术的术式主要为埋线法、缝线法、切开法，其中，切开法是在上睑作一切口，切除皮肤、肌肉等组织的手术方法，其适应证广泛，可达到天然重睑的效果，满足就医者的理想需求[3-4]。由于就医者的要求不断升高，重睑成形术的手术方法不断创新、完善。目前，传统切开法、Park切开法及改良切开法已广泛应用于临床，而关于三者临床效果比较的研究报道较为少见。……