本文選題：眼袋 + 眶肌筋膜韌帶��； 參考：《新疆醫(yī)科大學》2017年碩士論文

【摘要】：目的:比較眶脂肪弓狀緣釋放聯(lián)合眶肌筋膜韌帶懸吊與傳統(tǒng)經(jīng)皮入路下瞼袋整形術(shù)的并發(fā)癥、滿意度及治療效果,分析兩者優(yōu)劣。方法:選取2015年1月至2016年10月新疆醫(yī)科大學第五附屬醫(yī)院整形外科下瞼袋伴淚溝畸形受術(shù)者為研究對象,根據(jù)診斷標準、納入標準及排除標準選取符合要求的患者共計120例,采用隨機數(shù)字表分A、B兩組,各計60例,其中A組為實施經(jīng)皮眶脂肪弓狀緣釋放聯(lián)合眶肌筋膜韌帶懸吊術(shù)治療下瞼袋,B組為實施傳統(tǒng)經(jīng)皮下瞼袋整形術(shù)。術(shù)后分別進行6~12個月的隨訪,比較分析兩組術(shù)后的并發(fā)癥、患者滿意度及治療效果,并進行統(tǒng)計學分析。結(jié)果:兩組術(shù)后均取得良好的手術(shù)效果。兩組相比,并發(fā)癥下瞼凹陷差異有統(tǒng)計學意義(P0.05),下瞼外翻、球結(jié)膜水腫差異無統(tǒng)計學意義(P0.05)。兩組術(shù)后3個月滿意度調(diào)查,差異無統(tǒng)計學意義(P0.05),但兩組在術(shù)后6個月滿意度調(diào)查,差異有統(tǒng)計學意義(P0.05)。兩組術(shù)后6個月基于Barton分級系統(tǒng)的淚溝畸形比較,差異有統(tǒng)計學意義(P0.05)。結(jié)論:眶脂肪弓狀緣釋放聯(lián)合眶肌筋膜韌帶懸吊矯正下瞼袋是較為理想的手術(shù)方法,特別對于合并淚溝畸形的下瞼袋,其遠期效果優(yōu)于傳統(tǒng)經(jīng)皮入路下瞼袋整形術(shù),患者滿意度高,值得在臨床中推廣應用。
[Abstract]:Objective: to compare the complications, satisfaction and therapeutic effects of orbital fat arcuate release combined with suspension of orbital myofascial ligament and traditional percutaneous blepharoplasty. Methods: from January 2015 to October 2016, 120 patients with lower eyelid pouch with lacrimal sulcus malformation in plastic surgery of the Fifth affiliated Hospital of Xinjiang Medical University were selected as the subjects. 120 patients were selected according to the diagnostic criteria, inclusion criteria and exclusion criteria. 60 cases were randomly divided into two groups (n = 60). Group A was treated with percutaneous orbital fat arcuate margin release combined with suspension of orbital muscle fascia ligament for the treatment of lower eyelid pouch in group B for traditional subcutaneous blepharoplasty. The patients were followed up for 6 ~ 12 months after operation. The complications, patient satisfaction and therapeutic effect were compared and analyzed statistically. Results: good results were obtained in both groups. Compared with the two groups, the difference of lower eyelid depression in the two groups was statistically significant (P 0.05), and there was no significant difference in lower eyelid ectropion and bulbar conjunctival edema (P 0.05). There was no significant difference in the degree of satisfaction between the two groups at 3 months after operation, but there was a significant difference between the two groups in the satisfaction of the two groups at 6 months after operation (P 0.05). There was significant difference in lacrimal sulcus deformity based on Barton classification system between the two groups at 6 months postoperatively (P 0.05). Conclusion: orbital fat arcuate margin release combined with suspension of orbital myofascial ligament is an ideal method for the correction of lower eyelid pouch, especially for lower eyelid pouch with lacrimal sulcus malformation, its long-term effect is superior to that of traditional percutaneous blepharoplasty. Patient satisfaction is high and worth popularizing in clinic.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R779.6;R62

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