简介:[摘要 ]目的:研究分析眶隔脂肪重新分布去眼袋的术后疗效。方法:此次研究的对象是选择 2018年 1月至 2020年 1月来我院就诊的 67例去下睑眼袋的患者,将其临床资料进行回顾性分析,取下睑缘切口,于眼轮匝肌下剥离,至过眶骨缘 1~ 2mm,剪开眶隔,将疝出脂肪展开平铺于下睑,颧面沟明显者将脂肪固定于鼻侧眶骨膜下,少数脂肪过多者去除部分脂肪,剪去一条眼轮匝肌,缝合眼轮匝肌,去除多余下睑皮肤,缝合皮肤,加压包扎。结果:本组 67例眼袋改善明显,颧面沟亦改善明显,术后无明显并发症。结论:该方法是去除眼袋、改善颧面沟过深的理想术式。 [关键词 ]眼袋;眶隔脂肪 [Abstract] Objective: To study and analyze the effect of orbital septal fat redistribution and pouch removal. Methods: 67 patients who went to the lower eyelid pouch from January 2018 to January 2020 were selected for this study. The clinical data were analyzed retrospectively. The incision of the lower eyelid margin was removed, and the incision of the lower eyelid margin was dissected under the orbicularis oculi muscle. The incision of the lower eyelid margin was cut to 1-2mm across the orbital margin. The herniated fat was spread and spread on the lower eyelid. The fat was fixed under the nasal orbital periosteum in those with obvious zygomatic groove, and a small amount of fat was fixed Remove part of fat, cut off a orbicularis oculi muscle, sew up orbicularis oculi muscle, remove redundant lower eyelid skin, sew up skin, compress and bandage. Results: in this group, the pouch and zygomatic groove of 67 cases were improved obviously, and there was no obvious complication after operation. Conclusion: this method is an ideal way to remove the pouch and improve the depth of zygomatic groove.
简介:摘要目的探讨改良Hamra眼袋手术对眼袋伴发泪槽沟畸形病人的治疗效果并作分析。方法选择从2015年1月至2017年12月就诊的80例眼袋伴发泪槽沟畸形病人纳入研究,并随机分为对照组、研究组,各组有40例。对照组接受传统Hamra手术,研究组接受改良Hamra眼袋手术。比较分析两组治疗效果及治疗满意度。结果研究组治疗总有效率(95.00%,38/40)明显高于对照组(72.50%,29/40),2=7.4397,P=0.0064。研究组治疗效果满意度(85.00%,34/40)明显高于对照组(55.00%,22/40),2=8.5714,P=0.0034。结论对眼袋伴发泪槽沟畸形病人施行改良Hamra眼袋手术的治疗效果显著。