[摘 要]目的 探究在老年患者眼部整形中应用四步法眼袋切除术的效果。方法 选取2023年2月-2024年2月于株洲爱思特整形医疗美容有限公司天元门诊部美容外科行眼部整形的90例老年患者为研究对象，采用随机数字表法分为参比组和观察组，各45例。参比组给予下睑皮肤入路法眼袋切除术，观察组给予四步法眼袋切除术，比较两组临床疗效、美观性、整形满意度及并发症发生情况。结果 观察组治疗总有效率为97.78%，高于参比组的80.00%(P<0.05)；观察组术后1、3个月VSS评分均低于参比组(P<0.05)；观察组整形满意度为97.78%，高于参比组的77.78%(P<0.05)；观察组并发症发生率为2.22%，低于参比组的17.78%(P<0.05)。结论 四步法眼袋切除术在老年患者眼部整形中的应用效果确切，可有效去除眼袋，术后美观性较好，整形满意度较高，且术后并发症发生几率较低，值得临床应用。

    [关键词] 四步法眼袋切除术；眼部整形；老年患者

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)18-0115-04

    Application Effect of Four-step Eye Bag Plastic Surgery in Elderly Patients with Eye Plastic Surgery

    TAN Hecun

    (Department of Beauty Surgery， Zhuzhou Aisite Plastic Surgery Medical Beauty Co.， Ltd. Tianyuan Outpatient Department， Zhuzhou 412007， Hunan， China)

    [Abstract]Objective To explore the effect of four-step eye bag plastic surgery in elderly patients with eye plastic surgery. Methods From February 2023 to February 2024， 90 elderly patients who underwent eye plastic surgery in the Department of Aesthetic Surgery of Tianyuan Outpatient Department of Zhuzhou Esther Plastic Medical Cosmetic Co. ......