[摘 要]目的 探究在眼周皮肤松弛患者中采用四步法眼袋整形术的效果。方法 选取2021年5月-2023年5月于杭州祯爱医疗美容门诊部整形外科行眼袋整形的46例患者为研究对象，采用随机数字表法分为对照组和试验组，各23例。对照组采用下睑皮肤入路术，试验组采用四步法眼袋整形术，比较两组临床疗效、手术时间、皮肤外观恢复时间、眼部症状评分、并发症发生情况。结果 试验组总有效率为100.00%，高于对照组的82.61%(P<0.05)；试验组手术时间为(66.94±1.13)min，短于对照组的(79.34±1.59)min(P<0.05)；试验组皮肤外观恢复时间为(31.17±2.42)d，短于对照组的(36.62±3.58)d(P<0.05)；试验组下睑皮肤下垂、下睑皮肤松弛、下睑皮肤臃肿评分低于对照组(P<0.05)；试验组并发症发生率为4.35%，低于对照组的26.09%(P<0.05)。结论 在眼周皮肤松弛患者中采用四步法眼袋整形术的效果理想，可缩短手术时间和皮肤外观恢复时间，降低眼部症状评分，降低术后并发症发生率，值得临床应用。

    [关键词] 下睑皮肤入路术；四步法眼袋整形术；眼袋

    [中图分类号] R779.6 [文献标识码] A [文章编号] 1004-4949(2024)19-0084-04

    Clinical Effect of Four-step Eye Bag Plastic Surgery in Patients with Periocular Skin Relaxation

    ZHANG Wenjia

    (Department of Plastic Surgery， Hangzhou Zhen’ai Medical Cosmetology Clinic， Hangzhou 310000， Zhejiang， China)

    [Abstract]Objective To explore the effect of four-step eye bag plastic surgery in patients with periocular skin relaxation. Methods A total of 46 patients who underwent eye bag plastic surgery in the plastic surgery department of Hangzhou Zhen’ai Medical Cosmetology Clinic from May 2021 to May 2023 were selected as the research objects. They were divided into control group and experimental group by random number table method ......