小切口联合埋线重睑术临床应用.docVIP

小切口联合埋线重睑术临床应用 　　[摘要]目的：探讨埋线重睑术的手术方法。方法：患者取站立位或坐位设计重睑宽度，一般6～8mm,设计内、中、外三点。外侧点位于外眦内侧约5mm,以外侧点为中心设计长约5mm，位于重睑线上的切口线。切开皮肤，去除眼轮匝肌，打开眶隔，去除眶隔脂肪，彻底止血后，按切开重睑的方法，用6-0美容线带提上睑肌腱膜将伤口缝合，内中二点行埋线重睑。结果：本组56例，术中取出适量眶隔脂肪，组织量类似切开重睑。上睑臃肿明显减轻，外侧小切口瘢痕不明显，效果满意。结论：上睑不松弛，但臃肿者，小切口埋线重睑是一较好的选择。 　　[关键词]重睑术；埋线；治疗 　　[中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2012）03-0389-02 　　 　　Clinical application of double eyelid operation with mini-incision buried suture method 　　MA Xian-jie,LI Yang,LI Wei-yang,WANG Lu,DONG Li-wei 　　(Institute of Plastic Surgery,Xijing Hospital,The Fourth Military Medical University, Xian 710032,Shaanxi,China) 　　 　　Abstract: Objective To explore the surgical method of double eyelid operation with mini-incision buried suture. Methods The width of double eyelid was designed when the patient was erect or sitting position. Three points which are in medial, middle and lateral were marked to the posision of width of 6-8mm in common. The lateral point is located at about 5mm medial of outer canthus. The incision was about 5mm in double eyelid line taking the lateral point as a center. Incise the skin, remove the orbicularis oculi muscle, open orbital septum, and remove the fat in the orbital septum. After hemostasis completely, suture the wound with levator palpebrae superior tarsus aponeurosis by 6-0 nylon line as the method of incisional double-eyelid operation. Buried suture double-eyelid operation was performed in the other 2 points. Results The fat volume taken from the orbital septum is similar with the fat volume in the method of incisional double-eyelid operation in all 56 cases. They all get the satisfactory results. Upper eyelid overstaff is obviously reduced. The mini-incision scar in lateral is not significant. Conclusion Double eyelid operation with mini-incision buried suture method is a good choice for the patient whose upper eyelid is not relaxed but overstaff. 　　Key words:double eyelid operation; buried suture; treatment 　　 　　 埋线重睑术是门诊常见手术，术后外形自然，恢复迅速，无手术痕迹，故