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改良肌皮瓣法结合眶隔固定术进行眼袋整形的临床效果

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目的 分析眼袋整形中应用改良肌皮瓣法结合眶隔固定术的临床效果.方法 研究对象为 2020 年 3 月-2022 年 4 月在台州市椒江微微凯医疗美容门诊部接受眼袋整形的对照组和研究组患者各 33 例.对照组接受传统肌皮瓣法治疗,观察组行改良肌皮瓣法结合眶隔固定术治疗,对两组的临床治疗效果、手术前后眼部指标、并发症和满意度等进行比较.结果 观察组治疗总有效率(96.97%)高于对照组(78.79%);睑袋程度和下睑皱纹评分(1.02±0.11 分、3.00±0.15 分)低于对照组(1.56±0.15分、4.23±0.36分),皮肤美观度(8.56±1.33分)高于对照组(7.45±1.03分);治疗时间和恢复时间(7.23±1.33 d、30.23±2.36d)短于对照组(8.58±1.56 d、35.56±2.45 d);并发症发生率(6.06%)低于对照组(24.24%);满意度(96.97%)高于对照组(75.76%);数据对比差异均有统计学意义(P<0.05).结论 改良肌皮瓣法结合眶隔固定术应用在眼袋整形中可以明显提高手术效果,降低并发症,并提升患者术后满意度,是一种值得推广的手术方法.
Clinical effect and satisfaction analysis of modified myocutaneous flap combined with orbital septum fixation for pouch plastic surgery
Objective To analyze the effect and value of modified myocutaneous flap combined with orbital septum fixation in the plastic treatment of pouch.Methods 66 patients with pouch plastic surgery in our hospital from March 2020 to April 2022 divided into observation group and control group,with 33 in each group.Patients in control group were treated with traditional myocutaneous flap,and patients in observation group were treated with modified myocutaneous flap and orbital septum fixation.The clinical efficacy,preoperative and postoperative eye indicators,complications and satisfaction between the two groups were compared.Results The observation group showed a significant increase in the total response rate(96.97%)compared to the control group(78.79%);The degree of eyelid pouch and lower eyelid wrinkle score(1.02±0.11 points,3.00±0.15 points)were lower than the control group(1.56±0.15 points,4.23±0.36 points),The skin aesthetics(8.56±1.33 points)was higher than the control group(7.45±1.03 points);Treatment duration and recovery time(7.23±1.33d,30.23±2.36d)were shorter than the control group(8.58±1.56d,35.56±2.45d);Complications(6.06%)were lower than the control group(24.24%);The satisfaction rate(96.97%)was much higher than the control group(75.76%);The data differences were statistically significant(P<0.05).Conclusion The modified myocutaneous flap method combined with orbital septum fixation can significantly improve the surgical effect,reduce complications,and improve patients'postoperative satisfaction,which is a worthy surgical method.

Pouch plastic surgeryModified myocutaneous flapOrbital septum fixationClinical effectComplicationSatisfaction

李坤、张立建、张勇、陈巍

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台州市椒江微微凯医疗美容门诊部 美容外科,浙江 台州,318013

浙江大学医学院附属第一医院 整形美容中心,浙江 杭州,310003

眼袋整形 改良肌皮瓣法 眶隔固定术 临床疗效 并发症 满意度

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(2)
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