何叶青 王松 张佩璐 张建文

    [摘要]目的：探討双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术的美观度及术后并发症的发生率。方法：选取2018年1月-2021年1月笔者医院收治的70例接受睑袋切除术治疗的就医者，随机分为对照组(n=35)和观察组(n=35)，对照组予以四步睑袋法治疗，观察组予以双层瓦合缝合眼轮匝肌肌瓣法治疗。于术后3个月比较两组就医者的临床疗效和眼部美学效果，随访12个月，统计并发症发生情况，“卧蚕”形成情况、睑袋复发情况以及就医者满意度。结果：术后，观察组总有效率为94.29%，高于对照组的77.14%(P<0.05)；观察组的美学效果优良率为97.14%，高于对照组的82.86%(P<0.05)；观察组的并发症发生率为2.86%，低于对照组的25.71%(P<0.05)；观察组的“卧蚕”形成率为88.57%，高于对照组的22.86%(P<0.05)；两组睑袋复发率比较，差异无统计学意义(P>0.05)；观察组的总满意度为88.57%，高于对照组的65.71%(P<0.05)。结论：双层瓦合缝合眼轮匝肌肌瓣用于睑袋切除术，可以提高临床疗效和眼部整形美容效果，降低并发症发生风险，促进“卧蚕”形成，就医者满意度较高。

    [关键词]双层瓦合缝合眼轮匝肌肌瓣；睑袋切除术；眼整形；美学修复；术后并发症

    [中图分类号]R779.6? ? [文献标志码]A? ? [文章编号]1008-6455(2024)05-0045-04

    Observation on the Effect and Postoperative Complications of Double-layer Tile Suture Orbicularis Oculi Muscle Flap in Eyelid Blepharoplasty

    HE Yeqing1， WANG Song2， ZHANG Peilu2， ZHANG Jianwen1

    ( 1.Department of Plastic Surgery， the First Affiliated Hospital of Zhengzhou University， Zhengzhou 450000， Henan， China; 2.Department of Plastic Surgery， Nanyang Central Hospital， Nanyang 473000， Henan， China )

    Abstract： Objective? To explore the aesthetics and postoperative complications of double-layer tile suture orbicularis oculi muscle flap in eyelid blepharoplasty. Methods? A total of 70 patients undergoing eyelid blepharoplasty in the authors hospital were enrolled between January 2018 and January 2021. They were randomly divided into control group (n=35) and observation group (n=35) ......