中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
11期
1658-1660
,共3页
眼睑疾病%外科,整形%泪槽%睑颊沟%眼轮匝肌
眼瞼疾病%外科,整形%淚槽%瞼頰溝%眼輪匝肌
안검질병%외과,정형%루조%검협구%안륜잡기
Eyelid diseases%Surgery,plastic%Tear trough%Palpbromalar groove%Orbicularis oculi muscle
目的 探讨剥离弓状缘眼轮匝肌手术整复伴有泪槽和睑颊沟的眼袋临床效果.方法 对80例伴有泪槽和睑颊沟的眼袋患者,按照手术方法不同分为A组与B组各40例,分别进行剥离弓状缘眼轮匝肌手术与真性眶内脂肪过多去脂手术,进行整复治疗,对比分析两组患者的手术后整复满意度以及回访复发率.结果 治疗后,A组满意37例(92.5％),基本满意3例(7.5％),不满意0例(0.0％);B组满意28例(62.5％),基本满意9例(22.5％),不满意3例(15.0％),两组临床疗效差异有统计学意义(Z=18.481,P＜0.01).随访:A组出现复发1例(2.5％),B组2年后出现复发7例(17.5％),两组术后复发率差异有统计学意义(Z=7.314,P＜0.05).结论 采用剥离弓状缘眼轮匝肌手术法整复伴有泪槽和睑颊沟的眼袋,术后整复满意度高,复发率低,值得临床上进一步推广应用.
目的 探討剝離弓狀緣眼輪匝肌手術整複伴有淚槽和瞼頰溝的眼袋臨床效果.方法 對80例伴有淚槽和瞼頰溝的眼袋患者,按照手術方法不同分為A組與B組各40例,分彆進行剝離弓狀緣眼輪匝肌手術與真性眶內脂肪過多去脂手術,進行整複治療,對比分析兩組患者的手術後整複滿意度以及迴訪複髮率.結果 治療後,A組滿意37例(92.5％),基本滿意3例(7.5％),不滿意0例(0.0％);B組滿意28例(62.5％),基本滿意9例(22.5％),不滿意3例(15.0％),兩組臨床療效差異有統計學意義(Z=18.481,P＜0.01).隨訪:A組齣現複髮1例(2.5％),B組2年後齣現複髮7例(17.5％),兩組術後複髮率差異有統計學意義(Z=7.314,P＜0.05).結論 採用剝離弓狀緣眼輪匝肌手術法整複伴有淚槽和瞼頰溝的眼袋,術後整複滿意度高,複髮率低,值得臨床上進一步推廣應用.
목적 탐토박리궁상연안륜잡기수술정복반유루조화검협구적안대림상효과.방법 대80례반유루조화검협구적안대환자,안조수술방법불동분위A조여B조각40례,분별진행박리궁상연안륜잡기수술여진성광내지방과다거지수술,진행정복치료,대비분석량조환자적수술후정복만의도이급회방복발솔.결과 치료후,A조만의37례(92.5％),기본만의3례(7.5％),불만의0례(0.0％);B조만의28례(62.5％),기본만의9례(22.5％),불만의3례(15.0％),량조림상료효차이유통계학의의(Z=18.481,P＜0.01).수방:A조출현복발1례(2.5％),B조2년후출현복발7례(17.5％),량조술후복발솔차이유통계학의의(Z=7.314,P＜0.05).결론 채용박리궁상연안륜잡기수술법정복반유루조화검협구적안대,술후정복만의도고,복발솔저,치득림상상진일보추엄응용.
Objective To explore divest arcuate edge orbicularis muscle surgery reconstructive treatment of the symptoms of clinical efficacy and recovery.Methods 80 patients with tear trough and palphromalar groove pouch,according to the operation method,were divided into group A and group B.The patients received stripped arcuate margin of orbicularis oculi muscle operation and true orbital fat too much fat operation,operation treatment,respectively.The satisfaction and revisit the rebound rate of the two groups after surgery were compared.Results Of 40 patients in A group,37 cases (92.5％)were satisfied with the treatment,general satisfaction in 3 cases (7.5％),0 case (0.0％) was not satisfactory.In B group,28 cases (62.5％)were satisfied with the treatment,general satisfaction in 9 cases (22.5％),3 cases (15.0％)were not satisfactory.The clinical efficacy between the two groups was significantly different(Z =18.481,P ＜ 0.01).During follow-up,in A group,one case (2.5％)relapsed.In B group,7 cases (17.5％) relapsed after 2 years.The postoperative recurrence rate between the two groups had significant difference (Z =7.314,P ＜ 0.05).Conclusion For patients with tear trough and palpbromalar groove pouch,treatment by stripping arcuate margin of orbicularis oculi muscle operation method can effectively correct the tear trough and palabromalar groove deformity postoperative reduction performance,has high degree of satisfaction,the recurrence rate is low,the clinical effect is significant,it is worthy of further clinical application and research.
