摘要
目的:讨论结膜入路下睑袋矫治结合眶隔脂肪游离回填在下睑区年轻化中的运用效果和安全性。方法:回顾性分析2020年4月-2023年4月成都暄妍医学美容医院收治的下睑袋伴泪沟或眶下区凹陷就医者的临床资料。采用结膜入路下睑袋矫正联合眶隔脂肪游离回填的术式。术前、术后按照泪沟畸形等级量表(TTRS),Barton美学评级标准,结合就医者术后效果满意度调查表,综合分析就医者下睑袋及泪沟矫治的美学效果。结果:共纳入124例双侧下睑袋伴泪沟或眶下区凹陷就医者,其中男10例,女114例,19~66岁,平均(37.81±10.45)岁。术前泪沟畸形分型为Ⅰ型21例、Ⅱ型53例、Ⅲ型50例。术后3~5 d所有就医者均出现不同程度的结膜水肿及下睑肿胀,其中24例出现不同程度的皮肤瘀斑,10例出现不同程度的结膜出血,术后1~2周均自行恢复,未发现有血肿、复视、脂肪液化、脂肪结节及脂肪栓塞等并发症。术后随访6~12个月,平均(8.92±1.99)个月。比较术前、术后泪沟畸形等级量表评分,相较术前Ⅰ型、Ⅱ型和Ⅲ型就医者的评分在术后均有显著降低,差异均有统计学意义(P<0.05)。术前、术后Barton美学评级比较,与术前比较,Ⅰ型、Ⅱ型和Ⅲ型就医者的评级在术后均有明显改善,差异均有统计学意义(P<0.05)。非常满意50例(40.3%)、满意68例(54.8%)、不满意6例(4.8%),满意率95.2%。结论:结膜入路下睑袋矫治结合眶隔脂肪游离回填是一种有效、安全的下睑区年轻化手术方法,可以改善下睑袋、泪沟和眶下区凹陷的畸形,改善面部外观,提高就医者的满意度。
Objective To evaluate the efficacy and safety of the conjunctival approach combined with orbital septum fat-free backfilling in treating lower eyelid deformities.Methods Clinical data from patients with lacrimal groove or infraorbital depression treated at Chengdu Xuanyan Medical Cosmetic Hospital between April 2020 and April 2023 were analyzed.The conjunctival approach was combined with orbital septal fat-free backfilling.Pre-and post-operative assessments included Tear Trough Rating Scale(TTRS)and Barton aesthetic ratings based on a postoperative satisfaction questionnaire.Results A total of 124 patients with bilateral lower eyelid pouches presenting lacrimal groove or infraorbital depression(10 males,114 females;age range 19-66 years,mean age 37.81±10.45 years)were included.Lacrimal groove malformations were classified as type I in 21 patients,typeⅡin 53 patients,and typeⅢin 50 patients.Within 3 to 5 days post-operation,patients experienced varying degrees of conjunctival edema,lower eyelid swelling,skin ecchymosis(24 cases),and conjunctival hemorrhage(10 cases).All patients recovered within 1 to 2 weeks without complications such as hematoma,diplopia,fat liquefaction,fat nodules,or fat embolism.Follow-up ranged from 6 to 12 months(mean 8.92±1.99 months).Significant improvements were observed in TTRS scores(P<0.05)and Barton aesthetic ratings for type I and type II patients(P<0.05).Overall satisfaction rates were high,with 40.3%very satisfied,54.8%satisfied,and 4.8%dissatisfied,resulting in a satisfaction rate of 95.2%.Conclusion The conjunctival approach combined with orbital septum fat-free backfilling is a safe and effective surgical method for correcting lower eyelid pouches,lacrimal groove deformities,and infraorbital area depression.This technique enhances facial aesthetics and improves patient satisfaction.
作者
罗东
潘宁
王艳
饶珊
曹鸿瓒
周尊涵
LUO Dong;PAN Ning;WANG Yan;RAO Shan;CAO Hongzan;ZHOU Zunhan(Department of Plastic Surgery,Chengdu Xuanyan Medical Cosmetic Hospital,Chengdu 610042,Sichuan,China;Institute of Dermatology and Venereology,Sichuan Provincial People's Hospital,Chengdu 610014,Sichuan,China)
出处
《中国美容医学》
2025年第8期21-25,共5页
Chinese Journal of Aesthetic Medicine
关键词
下睑袋
泪沟
睑袋矫正术
脂肪填充
结膜入路
眼周年轻化
lower eyelid bag
tear trough
lower eyelid bag removal
fat filling
transconjunctival approach
rejuvenation around the eyes
