【摘 要】目的 分析外切法眼袋整形术联合注射A型肉毒毒素在眼周皮肤松弛患者中的应用效果。方法选取2019年1月-2021年12月我院收治的80例眼周皮肤松弛患者为研究对象，随机分为对照组和观察组，各40例。对照组行外切法眼袋整形术治疗，观察组行外切法眼袋整形术联合注射A型肉毒毒素治疗，比较两组临床疗效、心理状态、生活质量及不良反应发生情况。结果 观察组治疗总有效率为97.50%，高于对照组的85.00%(P<0.05)；观察组治疗后SAS评分、SDS评分均低于对照组(P<0.05)；观察组不良反应发生率为7.35%，低于对照组的10.00%，但差异无统计学意义(P>0.05)；观察组治疗后社会功能、心理功能、躯体功能、角色功能评分均高于对照组(P<0.05)。结论 对眼周皮肤松弛患者应用外切法眼袋整形术联合注射A型肉毒毒素治疗，可有效改善患者的眼周皮肤松弛情况，有利于实现眼周皮肤年轻化，缓解患者的焦虑、抑郁情况，提高其生活质量，且术后并发症发生几率较低。

    【关键词】外切法眼袋整形术；注射A型肉毒毒素；眼周皮肤松弛

    中图分类号：R622 文献标识码：A 文章编号：1004-4949(2023)22-0070-05

    Clinical Effect of Eye Bag Plastic Surgery with External Incision Combined with Type A Botulinum Toxin Injection in the Treatment of Periocular Skin Relaxation

    LIU Chao1， ZHANG Wei2， PENG Wei-hai2

    (1.Department of Medical Cosmetology， South China Hospital Affiliated to Shenzhen University， Shenzhen 518111， Guangdong， China； 2.Department of Plastic and Aesthetic Surgery， the First Hospital of Jilin University， Changchun 130021， Jilin， China)

    【Abstract】Objective To analyze the clinical effect of eye bag plastic surgery with external incision combined with type A botulinum toxin injection in the treatment of periocular skin relaxation. Methods A total of 80 patients with periocular skin relaxation admitted to our hospital from January 2019 to December 2021 were selected as the research objects and randomly divided into control group and observation group ......