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1、改良三点式重睑治疗上睑皮肤松弛［摘要］目的：探索治疗上睑皮肤松弛的新方法。方法：459例重睑，其中A组96例采用传统重睑手术方式，B组63例患者采用改良三点式重睑术单纯切除上睑皮肤松弛部分，完全保留眼轮匝肌，于重睑线内中外三点处各切开眼轮匝肌约2mmo于肌肉切口下去除睑板前组织，该三点处连睑板缝合皮肤，其余皮肤间断缝合。结果：A组96例患者重睑形态满意，术后6例患者术后出现切口瘢痕增生及重睑形态不满意等并发症，再次修复后形态满意，术后恢复时间（3±0.3）月。B组63例患者重睑形态满意，2例患者术后2个月时出现重睑消失，再次修复后形态
2、满意，术后恢复时间1±0.5月。结论：改良三点式重睑可有效改善上睑皮肤松弛，并且较传统手术方式恢复更快。［关键词］三点式；重睑；手术方法；上睑皮肤松弛；眼轮匝肌［中图分类号］R622［文献标识码］A［文章编号］1008-6455(2012)01-0031-02ThereformingThree-MiniinsicionblepharoplastyfortreatmentofcutislaxaofuppereyelidFUNa,ZENGDong,ZUOJun,YUWen-lin,XIONGJie,TANGJian-bing,ZHANGB
3、in,LIQin(DepartmentofPlasticSurgery,GuangzhouGeneralHospitalofGuangzhouMilitaryRegion,Guangzhou510010,Guangdong,China)Abstract:ObjectiveTosearchanewtreatmentforcutislaxaofuppereyelid・Methods159casesdoubleeyelidplasty,96casesofAgroupunderwenttraditionaldoubleeyelidplasty
4、,theother63casesofBgroupunderwentthereformingThree-Miniinsicionblepharoplastytoremovethelaxsectionofuppereyelidsimplely,andkeeptheorbicularisoculiwholly,cutopentheorbicularisoculiabout2mmatthreepointsrespectivelywhicharelocatedonthedoubleeyelidline.Toremovethepretarsalt
5、issueunderthecutoforbicularisoculi,andsuturetheskintogetherwithtarsusatthethreepoints,theremainingskinshouldbesutureddiscontinuous!y.Results96casesofAgrouprequiredasatisfyingshapeafterdoubleeyelidplasty,complicationssuchashypertrophicscaranddissatisfiedshapehappenedon6c
6、asesaftersurgerywhoacquiredasatisfyingshapeafterrepairingagain,therecoverytimeis3±0.3months.63casesofBgroupacquiredasatisfyingshape,only2getapostoperativecomplicationwhosedoubleeyelidlinedisappeared2monthslater,butalsoacquiredasatisfyingshapeafterrepairingagain・therecov
7、erytimeis(1±0.5)months.ConclusionThereformingThree-Miniinsicionblepharoplastycouldimprovethecutislaxaofuppereyelideffectively.Keywords:Three-Miniinsicion;blepharoplasty;cutislaxaofuppereyelid面部皮肤松弛在眼周表现最为明显口］,尤其是上睑皮肤松弛，为整形美容外科的常见病,也是人们不可抗拒的衰老过程。常用的手术方法有眉缘切口及重睑线切口。笔者近年来采
8、用改良三点式重睑术治疗上睑皮肤松弛取得了较好的效果，现报道如下。1资料和方法1.1临床资料：本组159例患者，年龄最大69岁，最小35岁，其中136例为女性，23例男性。平均年龄为48岁。其中A组96例采用传统重睑手术方
