吕启凤 孙德利

【摘 要】目的 探究对上睑凹陷患者应用颗粒脂肪移植治疗的临床效果。方法 选取2021年7月-2022年7月我院收治的82例上睑凹陷患者为研究对象，采用随机数字表法分为参照组和探究组，每组41例。参照组实施重睑切开联合块状脂肪移植治疗，探究组实施颗粒脂肪移植治疗，比较两组临床疗效及治疗满意度。结果 探究组治疗总有效率为100.00%，高于参照组的90.24%（P<0.05）；探究组治疗满意度为97.56%，高于参照组的80.49%（P<0.05）。结论 针对上睑凹陷患者采用颗粒脂肪移植治疗的临床效果良好，可有效改善患者的上睑凹陷情况，有利于提高治疗满意度。

【关键词】颗粒脂肪移植；上睑凹陷；塑形

中图分类号：R779.6 文献标识码：A 文章编号：1004-4949（2023）08-0099-03

Clinical effect of Fat Granule Transplantation in the Treatment of Upper Eyelid Depression

LYU Qi-feng， SUN De-li

（Shanghai CellCare Outpatient Department， Shanghai 200000 China）

【Abstract】Objective To explore the clinical effect of fat granular transplantation in patients with upper eyelid depression. Methods A total of 82 patients with upper eyelid depression admitted to our hospital from July 2021 to July 2022 were selected as the research objects. They were divided into reference group and study group by random number table method， with 41 patients in each group. The reference group was treated with double eyelid incision combined with massive fat transplantation， and the exploration group was treated with fat granular transplantation. The clinical efficacy and treatment satisfaction of the two groups were compared. Results The total effective rate of treatment in the study group was 100.00%， which was higher than 90.24% in the reference group （P<0.05）. The treatment satisfaction of the study group was 97.56%， which was higher than 80.49% of the reference group （P<0.05）. Conclusion The clinical effect of fat granular transplantation in patients with upper eyelid depression is good， which can effectively improve the upper eyelid depression of patients and improve the satisfaction of treatment.

【Key words】Fat granular transplantation； Upper eyelid depression； Moulding

上睑凹陷（upper eyelid depression）是指眼眶和上睑之间软组织萎缩导致的凹陷，其发生原因在于上睑脂肪萎缩导致眶区脂肪下降，也可能是由于切开重睑术等眼部手术或眼部外伤引起，会使人面部呈现出憔悴、疲惫或苍老感[1]。随着年齡的增加，眼睑逐渐衰老，也容易形成上睑凹陷。由于眶内软组织持续放松，上睑提肌腱膜与睑板发生断裂或延长、变薄等改变，会导致眶隔脂肪持续移位、下沉，最后移到眶缘的部位，导致眶内上部出现空白，出现上睑凹陷[2]。目前，颗粒脂肪移植、块状脂肪移植等均为上睑凹陷的临床常用治疗方法，且脂肪具有来源丰富、可塑性高的特点，在填重缺损、凹陷组织方面具有很大优势[3]。随着医学技术的进步，脂肪颗粒移植技术也在不断地进步，并日益完善，其组织相容性更佳，逐渐广泛应用于临床[4]。……