[摘 要]目的 分析在中老年眼睑整形中采用眼轮匝肌楔形切除联合眶隔释放法的效果。方法 选取2021年1月-2024年1月于南京维多利亚美容医院行眼睑整形的223例中老年患者为研究对象，以随机数字表法分为对照组(n=111)和观察组(n=112)。对照组采取传统眼袋整形手术，观察组采取眼轮匝肌楔形切除联合眶隔释放法手术，比较两组治疗效果、眼睑改善情况及并发症发生情况。结果 观察组治疗后1、3、6个月治疗效果评分均高于对照组(P<0.05)；观察组治疗后皮肤松弛、下睑皱纹、眼袋评分均低于对照组(P<0.05)；观察组并发症发生率为1.79%，低于对照组的9.01%(P<0.05)。结论 眼轮匝肌楔形切除联合眶隔释放法在中老年眼睑整形中的应用效果确切，可有效改善眼睑皮肤松弛问题，消除眼袋，且并发症较少，手术安全性较高。

    [关键词] 眼轮匝肌楔形切除术；眶隔释放法；眼睑整形

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)19-0092-04

    Application Effect of Orbicularis Oculi Muscle Wedge Resection Combined with Orbital Septum Release Method in Middle-aged and Elderly Eyelid Plastic Surgery

    LI Lihui

    (Plastic Surgery Department of Nanjing Victoria Beauty Hospital， Nanjing 210000， Jiangsu， China)

    [Abstract]Objective To analyze the effect of orbicularis oculi muscle wedge resection combined with orbital septum release in middle-aged and elderly eyelid plastic surgery. Methods A total of 223 middle-aged and elderly patients who underwent eyelid plastic surgery in Nanjing Victoria Beauty Hospital from January 2021 to January 2024 were selected as the research objects. They were divided into control group (n=111) and observation group (n=112) by random number table method. The control group was treated with traditional eyelid plastic surgery ......