中老年上睑皮肤松弛矫正效果观察.docVIP

中老年上睑皮肤松弛矫正效果观察[摘要]目的：观察中老年上睑皮肤松弛矫正术的临床效果。方法：根据上睑皮肤松弛程度与厚度不同单纯行提眉术、提切眉术、重睑术或同期行提眉术+重睑术或提切眉术+重睑术。结果：本组146例，87 例获得较长期随访，随访6个月～2 年，均获满意效果。结论：上睑皮肤松弛矫正手术创伤小，操作简单，恢复快，是中老年面部年轻化，改善容貌，增强自信心，提高生活质量的理想手术。 [关键词]中老年；上睑松弛；重睑术；提切眉术；效果 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2011）10-1533-02 Observations of the skin chalasis of upper eyelid correction in the middle-aged and elderly people NIU Jin-bao,LI Gao-zhong,ZHOU Kai-hua (Department of Ophthalmology,Hospital of Xi’an Jiaotong University,Xi’an 710061,Shaanxi,China) Abstract:ObjectiveTo observe the clinical effect of the skin chalasis of upper eyelid correction in the middle-aged and elderly people.MethodsAccording to the degrees and thicknesses of the skin chalasis of the upper eyelid, simple brow lifting, brow lifting and shaping, double eyelid operation or brow lifting + double eyelid operation/brow lifting and shaping + double eyelid operation are performed simultaneously.ResultsThere were 146 cases in the group, 87 of whom were followed up postoperatively for 6 to 24 months. Prognosis was judged by all to be excellent.ConclusionHaving small trauma, easy to perform and quick to recover,the skin chalasis of upper eyelid correction is an ideal operation for the middle-aged and elderly people to make them look younger, improve their appearance,enhance their confidence and raise their living qualities. Key words: middle aged and elderly people; double eyelid operation; brow lifting and shaping; effect 随着人们生活水平的提高，对美的追求不再是年轻人的专利，越来越多的中老年人更新思想观念，希望自己容貌年轻，因而要求实施上睑松弛矫正手术者越来越多。2000 年1月以来，笔者采用重睑术、提切眉术或提切眉术同期重睑术矫正上睑松弛，取得满意效果，现报道如下。 1临床资料 本组共146例，均为女性，年龄38～65 岁。重睑术52例、提眉术51例、提切眉术29例、提眉术+重睑术14例，其中61例同期行下睑袋整复术或下睑松弛矫正术。所有患者术前均有不同程度的上睑皮肤松弛, 鱼尾纹加深，部分伴有不良文眉或眉下垂。 2手术方法 2.1切口设计 2.1.1 提切眉术的设计：患者端坐位，双眼平视，观察其眉、眼形态，上睑松弛程度，鱼尾纹状况，切口设计应视患者具体情况而定，整体考虑，灵活掌握，可设计为眉上或眉下全长切口、或眉上或眉下中外侧切口，力求对自身眉毛能少切者尽量少切，以最大限度保留自身眉毛，达到理想矫正为原则[1]。 2.1.2 重睑成形术的设计：患者平卧位，轻闭双眼，距睑缘6～7mm设计重睑线，然后用无齿镊自重睑线向上分内、中、外三点夹持上睑皮肤并做标记，然后将这些点以弧线连接起来, 形成上切口