切开重睑成形术联合改良park-z成形术的临床观察

2019-09-22 吴晶琰 卫连坤 陈亮 中国医疗美容

选择单睑合并内眦赘皮患者54例,男31例,女23例,年龄19-28岁,平均年龄(23.18±1.64)岁;内眦赘皮程度:轻度有29例,中度有21例,重度有4例。

临床资料
       
选择单睑合并内眦赘皮患者54例,男31例,女23例,年龄19-28岁,平均年龄(23.18±1.64)岁;内眦赘皮程度:轻度有29例,中度有21例,重度有4例。

临床方法
       
给予重睑成形术联合改良park-z成形术:内眦赘皮反向向着鼻侧方向牵拉暴露泪湖最内侧点标记一点A,松开牵拉后于A点在赘皮皮肤上的投影点向鼻侧1mm处标记B点,于重睑设计线延伸线上标记C点,使AC=BC,由A点沿下睑弧度向外侧标记D点,使AC=AD。
       
进行局部浸润麻醉措施,沿设计线切开内眦部皮肤,将内眦部位的皮肤与皮下组织切开,充分剥离后确保有Z形瓣形成,将内眦部皮下组织充分松解,上方0.5cm范围,内侧及下方剥离约1cm范围,确保无张力状态下原赘皮部皮肤能移位至重睑线缝合区域,将新旧内眦角对位缝合后对下部Z形瓣适当修剪,确保无猫耳形成用7-0尼龙线缝合切口,上述同法完成重睑术,术后在切口线表面涂抹适量金霉素眼膏,术后7日实施拆线。

临床结果

手术效果
       
经治疗后患者显效有40例,所占比例74.07%;好转13例,所占比例是24.07%;无效有1例,所占比例是1.85%。

眼部指标
       
经治疗后患者眼睑睑裂长度是35.24±2.16mm,内眦间距是33.14±1.15mm,内眦间距与眼睑睑裂长度比值是1.08±0.16。

随访情况
       
经治疗后发生瘢痕增生有1例,所占比例是1.85%。

讨论分析
       
重睑成形术联合改良park-z成形术能有效矫正内眦赘皮患者,前者具有重睑线稳定、重睑线宽度易掌握等优势,适合的人群较为广泛,便于达到良好的美观重睑效果;后者属于临床新型的手术形式,在不去除内眦区皮肤的前提下能对内眦区域的皮肤分布情况作出调整,将上睑横向的皮肤张力松弛后确保重睑内侧弧度较良好,使得眼部有平行的“外双”重睑线形成,保持无张力状态下缝合避免形成纵向瘢痕。

重睑成形术联合改良park-z成形术治疗单睑合并内眦赘皮患者能提高手术效果,术式设计操作简便,术后并未发生明显的瘢痕,同期进行内眦赘皮矫正与重睑成形,外形美观自然且具有持久的形态稳定性,满足患者对美观的需求,便于获得良好的美学效果,值得临床被广泛应用,具有较高的安全性与可靠性。

参考文献略。

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