中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
26期
24-25
,共2页
眼袋%眶隔%脂肪组织%眼轮匝肌
眼袋%眶隔%脂肪組織%眼輪匝肌
안대%광격%지방조직%안륜잡기
Eye pouch%Orbital septum%Adipose tissue%Ocular orbicularis
目的：尝试为眼袋整形寻求一种新的手术方式，使手术变得简便而疗效稳定。方法眼袋整形手术患者163例为研究对象。下睑缘切口，皮下分离形成皮瓣，于眼轮匝肌眶部打开眶隔，适当切除眶隔内脂肪组织，梭形切除部分薄弱的眶隔筋膜及眶前眼轮匝肌，将其与下眶缘骨膜缝合以便加强眶前支持结构。观察手术效果。结果163例眼袋患者采取了部分去除眶隔内脂肪，加强眶前组织的手术，均获得了满意的疗效。结论眶内脂肪组织适当部分切除，同时将眶隔筋膜和眶前眼轮匝肌与眶缘骨膜固定，恢复了眶隔内组织压力与下睑眶隔支持结构之间的正常平衡状态。加强支持结构不但可以有效地防止因眶隔脂肪组织切除不够而造成的疗效不佳，而且也可预防由于眶内脂肪组织去除过多而出现的眶下凹陷，手术简单容易掌握而且疗效稳定。
目的：嘗試為眼袋整形尋求一種新的手術方式，使手術變得簡便而療效穩定。方法眼袋整形手術患者163例為研究對象。下瞼緣切口，皮下分離形成皮瓣，于眼輪匝肌眶部打開眶隔，適噹切除眶隔內脂肪組織，梭形切除部分薄弱的眶隔觔膜及眶前眼輪匝肌，將其與下眶緣骨膜縫閤以便加彊眶前支持結構。觀察手術效果。結果163例眼袋患者採取瞭部分去除眶隔內脂肪，加彊眶前組織的手術，均穫得瞭滿意的療效。結論眶內脂肪組織適噹部分切除，同時將眶隔觔膜和眶前眼輪匝肌與眶緣骨膜固定，恢複瞭眶隔內組織壓力與下瞼眶隔支持結構之間的正常平衡狀態。加彊支持結構不但可以有效地防止因眶隔脂肪組織切除不夠而造成的療效不佳，而且也可預防由于眶內脂肪組織去除過多而齣現的眶下凹陷，手術簡單容易掌握而且療效穩定。
목적：상시위안대정형심구일충신적수술방식，사수술변득간편이료효은정。방법안대정형수술환자163례위연구대상。하검연절구，피하분리형성피판，우안륜잡기광부타개광격，괄당절제광격내지방조직，사형절제부분박약적광격근막급광전안륜잡기，장기여하광연골막봉합이편가강광전지지결구。관찰수술효과。결과163례안대환자채취료부분거제광격내지방，가강광전조직적수술，균획득료만의적료효。결론광내지방조직괄당부분절제，동시장광격근막화광전안륜잡기여광연골막고정，회복료광격내조직압력여하검광격지지결구지간적정상평형상태。가강지지결구불단가이유효지방지인광격지방조직절제불구이조성적료효불가，이차야가예방유우광내지방조직거제과다이출현적광하요함，수술간단용역장악이차료효은정。
Objective To explore a new blepharoplasty which is easier to operate and more effective than the old ones.Methods A total of 163 cases undergone blepharoplasty were taken as research subjects. The method of skin flap was adopted through incision in margin of palpebra inferior, then the orbital fat, weakened septum orbital, partial orbicularis oculi and loose skin were properly excised. Ocular orbicularis and orbital septum are jointed with the orbital periosteum by means of suture. The effect was observed after the surgery.Results All the 163 cases of blepharoplasty with intensifying orbital septum and removing partial adipose tissue, had received satisfying curative effects.Conclusion The balance between the adipose tissue and supporting tissue of sockets of eyes was reconstructed. It can prevent not only from the bad operative effect for not enough excised adipose tissue, but also from the sunken sockets of eyes for too much excised adipose tissue. The surgery is simple and easy to conduct, and it can provide stable curative effect.
