[摘要]目的：研究眶隔脂肪联合眶上缘外侧眼轮匝肌下脂肪(ROOF)部分去除矫正上睑臃肿的美学效果和安全性。方法：选取2018年3月-2023年3月在笔者医院就诊行眶隔脂肪联合眶上缘外侧ROOF部分去除术的103例上睑臃肿就医者。记录手术改善效果、并发症发生情况以及治疗前后美学效果评估。结果：所有就医者均一期愈合，上睑臃肿情况显著改善；术后2例局部血肿、1例自述上睑中外侧偶发轻度疼痛、3例就医者眶上神经外侧支支配区域出现一过性麻木症状，上述症状均自行消失；治疗后，就医者的眼部外观满意度、上睑外观满意度较治疗前显著上升，外观压力评分较治疗前显著下降，差异有统计学意义(P<0.05)。结论：眶隔脂肪联合眶上缘外侧ROOF部分去除在上睑臃肿矫正中具有较好疗效且安全可靠，并能获得满意的美学效果。

    [关键词]上睑臃肿；矫正；眶隔脂肪；眼轮匝肌下脂肪；去除；美学效果；安全性

    [中图分类号]R779.6" " [文献标志码]A" " [文章编号]1008-6455(2025)08-0013-03

    Partial Resection of Preseptal Fat and Retro-orbicularis Oculi Fat in Correcting Upper Eyelid Swelling

    YUE Haili1，2， DAI Fan3， YU Yan3

    ( 1.Hebei University of Engineering， Handan 056000， Hebei， China; 2.Department of Medical Aesthetics， Handan Handang Hospital， Handan 056001， Hebei， China; 3.Department of Medical Aesthetics， Hebei Provincial People's Hospital， Shijiazhuang 050000， Hebei， China )

    Abstract： Objective" To study the cosmetic effect and safety of partial resection of preseptal fat and retro-orbicularis oculi fat (ROOF) in correcting upper eyelid swelling. Methods" A total of 103 patients with upper eyelid swelling who were treated with partial resection of preseptal fat and ROOF in the hospital from March 2018 to March 2023 were selected. Surgical effect ......