山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (2): 91-94.doi: 10.6040/j.issn.1673-3770.0.2017.319

• ·论著· • 上一篇    下一篇

改良Park法重睑术的临床应用及疗效分析

谢燕燕,张基勋,姜笃银   

  1. 81372074, 81071560, 30772258);
    山东省科技攻关项目(2009GG10002078, 2015GSF118041)第一作者:谢燕燕。 E-mail:414176065@qq.com通讯作者:姜笃银。 E-mail:jdybs2@vip.163.comDOI:10.6040/j.issn.1673-3770.0.2017.319改良Park法重睑术的临床应用及疗效分析谢燕燕, 张基勋, 姜笃银(山东大学第二医院整形烧伤外科 山东大学组织工程研究所, 山东 济南 250033
  • 收稿日期:2017-07-24 出版日期:2018-03-20 发布日期:2018-03-20
  • 通讯作者: 姜笃银. E-mail:jdybs2@vip.163.com
  • 基金资助:
    国家自然科学基金(81372074,81071560,30772258);山东省科技攻关项目(2009GG10002078,2015GSF118041)

Clinical applicability and therapeutic effect analysis of the modified park method double-eyelid operation

XIE Yanyan, ZHANG Jixun, JIANG Duyin   

  1. Department of Burns and Plastic Surgery, The Second Hospital of Shandong University, Institute of Tissue Engineering of Shandong University, Jinan 250033, China
  • Received:2017-07-24 Online:2018-03-20 Published:2018-03-20

摘要: 目的 探讨改良Park法重睑术的临床效果。 方法 2013年4月至2016年12月,行改良Park法行重睑术564例。所有患者均行双侧改良Park法重睑术,有162例同时进行了内眦赘皮矫正术。患者上睑缘均位于瞳孔上缘,提上睑肌肌力>8 mm。 结果 98.9%的患者术后切口Ⅰ期愈合,7 d拆线时肿胀较轻。患者跟踪随访2~25个月,94.5%的患者术后6个月重睑弧线流畅,切口下皮肤紧绷,外形对称,瘢痕轻微。 结论 改良Park法重睑术,术后恢复期短,形态自然,可加强提上睑肌肌力,矫正上睑皮肤松垂,重睑效果可靠。

关键词: 重睑术, 眼轮匝肌, 提上睑肌腱膜, 改良Park法

Abstract: Objective In this study, we aimed to evaluate the therapeutic effect of the modified Park method double-eyelid operation. Methods Five hundred and sixty-four modified Park method double-eyelid operations were performed from April 2013 to December 2016; 551 of the patients were female and 13 were male. The average age of the patients was 31 years(range, 16 to 46 years). Bilateral modified Park method double-eyelid operations were performed on all the patients, and 162 patients underwent epicanthoplasty as well. In each patient, the margin of the upper eyelids coincided with the pupil, and the levator muscle force was higher than 8 mm. Results Postoperatively, the incision healed at the first stage in 98.9% of the patients and there was only minor tumescence when the stitches were removed at 7 days after the operation. The follow-up duration in all patients ranged from 2 to 25 months. As a result, 94.5% of the patients achieved natural and smooth double eyelids with symmetrical configuration and minor scar. Their incisions healed quickly with tight skin tissue underneath. Conclusion The modified Park method double-eyelid operation results in a short convalescence period, natural double eyelid, higher levator muscle force, lifted upper eyelid, and a favorable effect.

Key words: Modified Park method, Double-eyelid operation, Levator aponeurosis, Orbicularis oculi muscle

中图分类号: 

  • R622+.9
[1] 林茂昌. 现代眼部整形美容学[M]. 西安:世界图书出版西安公司,1997:178-183.
[2] 罗建国. 留静脉桥切开法重睑成形术的解剖学基础及临床应用[J]. 中华医学美容杂志,1998,4(2):57-60. LUO Jianguo. Clinical observation and pathologic nanlysis after double eyelid operation with avein-bridge[J]. Chin J Med Aesth Comet, 1998, 4(2):57-60.
[3] 罗建国,戚可名,陈国璋,等. 眉区、上睑的解剖及其在上睑下垂外科中的意义[J]. 中华整形烧伤外科杂志,1994,10(6):466-468. LUO Jianguo, QI Keming, CHENG Guozhang, et al. Anatomy of the eyebrow and upper eyelid region and its significanc in potsis surgey[J]. Chin J Bur, 1994, 10(6):466-468.
[4] 王炜. 整形外科学[M]. 杭州:浙江科学技术出版社,1999:943.
[5] 易成刚,郭树忠,张琳西,等. 汉族人重睑发生率的荟萃分析[J]. 中华医学美学美容杂志,2004,10(6):370-371.
[6] 李冬梅. 眼部整形美容手术图谱[M]. 北京:人民卫生出版社,2008:80.
[7] 文辉才,万珺,眭云鹏,等. 肌皮瓣法重睑术的临床疗效分析[J]. 中国修复重建外科杂志,2017,31(3):327-330. WEN Huicai, WAN Jun, SUI Yunpeng, et al. Clinical efficacy analysis of myocutaneous flap in blepharoplasty[J]. Chin J Reparative Surg, 2017, 31(3):327-330.
[8] 李航, 刘立强. 东亚人面部美容手术[M]. 北京:北京大学医学出版社,2009:41-53.
[9] 牛常英,谭慎兴,吴彩凤,等. 改良Park法重睑成形术矫正轻度上睑下垂的疗效观察[J]. 中国修复重建外科杂志,2015,29(9):1133-1135. NIU Changying, TAN Shenxing, WU Caifeng, et al. Effectiveness of modified Park method of blepharoplasty for correction of mild blepharoptosis[J]. Chin J Rep Rec Surg, 2015, 29(9):1133-1135.
[1] 郭丽, 袁方, 李斌, 李俊逸, 王翠青, 闫春慧. 改良眼轮匝肌缩短术治疗先天性睑内翻24例[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 77-78.
[2] 欧召喜,张光辉,香淑媚. 重睑定位器在重睑术中的改良应用及疗效观察[J]. 山东大学耳鼻喉眼学报, 2014, 28(2): 92-94.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!