改良经睫毛缘切口法联合生物蛋白线行重睑术161例报道(1)
[摘要]目的：探索一种安全有效、微创、瘢痕不明显、易恢复的重睑术式。方法：选取2010年5月～2014年1月我院收治的161例单睑求美者。采用经睫毛缘切口重睑法改良术式，于睫毛缘上1.5mm处倾斜向上切开皮肤，剥离，去除眼轮匝肌及脂肪、眶隔等组织后采用针头穿刺定点法辅助皮内缝合，并在缝合睑缘皮肤时应用生物蛋白线无张力缝合。结果：术后随访6～34个月，平均13.1个月。143例获得随访，随访率88.8%。其中2例重睑重睑形态不对称，予以原切口行手术调整后满意。余重睑形态美观，切口瘢痕不明显，满意度高。结论：对经睫毛缘切口术式行进一步改良联合生物蛋白线应用，具有免拆线，恢复快，瘢痕不明显等优点。
[关键词]重睑术；生物蛋白线；睫毛缘切口
[中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2014)22-1880-03
Better the double-fold eyelid shape taking operation through eyelash margin incision joint with application of biological protein line for 161 cases
CHEN Guang-ping，LIU Jin-hua，HU Xiu-long，LIN Xiu-lang
(Department of Plastic Surgery，Ruili Medical Aesthetic Hospital，Wuxi 214000，Jiangsu，China)
Abstract： Objective To explore for a double-fold eyelid shape taking operation that is safe， minimal invasive，easy to recover and without obvious scar. Methods From March， 2010 to January，2014， we have taken the double-fold eyelid shape taking operation through eyelash margin incision for 161 people who want to be more beautiful about face.The operation is to titled upward do the skin incision at the 15mm place of eyelash，strip，use the needle puncture fixed point method to auxiliary intradermal suture after removing the orbicularis oculi muscle and fat orbital groups like insulation，and application of biological protein line without tension when suture the skin of the eyelid edge. Results The postoperative follow-up was about 6 months to 34 months， the average of which was 13.1 month.There are 143 people have gained the postoperative follow-up， and the rate of the postoperative follow-up was 88.8%. There were 2 people with imbalanced face after receiving the double-fold eyelid shape taking operation，but they are satisfied after the adjustment of the original line incision surgery.The shape of the double-fold eyelid was beautiful，and the incisional scar was not obvious，which wins the high degree of the satisfaction. Conclusion Better the eyelash margin incision surgery with the application of biological protein line， and it bears the merits of not taking out stitches， easily to recover and the scar is not obvious.
Key words：upper eyelid plasty；biologic protein line；palpebral margin incision
重睑成形术全称为双睑皱襞成形术，又称重睑皱襞成形术，是应用最为广泛的眼部整形美容手术之一[1]。重睑术的方法有很多，各有其利弊[2]。如传统的切开法重睑术存在恢复时间长、切口瘢痕较明显、拆线时疼痛的缺点，针对这些缺陷我们将经睫毛缘切口法进行改良的基础上联合生物蛋白线(商品名：邦达可吸收蛋白线中山市邦达医用制品有限公司)，行重睑术，应用于临床，术后效果满意，现报道如下。
1 资料和方法
1.1一般资料：选取2010年5月～2014年1月我院收治的161例双侧单睑的求美者。采用经睫毛缘切口法进行收治的改良的基础上联合生物蛋白线行重睑术，求美者均行术前常规体检排除手术禁忌证，且均有强烈愿望行重睑成形术。所有病例既往未行重睑手术。其中女性157例(314侧)，男性4例(8侧)，年龄18～38岁，平均25.4岁。 (陈光平 刘金华 胡秀龙 林秀兰)
[关键词]重睑术；生物蛋白线；睫毛缘切口
[中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2014)22-1880-03
Better the double-fold eyelid shape taking operation through eyelash margin incision joint with application of biological protein line for 161 cases
CHEN Guang-ping，LIU Jin-hua，HU Xiu-long，LIN Xiu-lang
(Department of Plastic Surgery，Ruili Medical Aesthetic Hospital，Wuxi 214000，Jiangsu，China)
Abstract： Objective To explore for a double-fold eyelid shape taking operation that is safe， minimal invasive，easy to recover and without obvious scar. Methods From March， 2010 to January，2014， we have taken the double-fold eyelid shape taking operation through eyelash margin incision for 161 people who want to be more beautiful about face.The operation is to titled upward do the skin incision at the 15mm place of eyelash，strip，use the needle puncture fixed point method to auxiliary intradermal suture after removing the orbicularis oculi muscle and fat orbital groups like insulation，and application of biological protein line without tension when suture the skin of the eyelid edge. Results The postoperative follow-up was about 6 months to 34 months， the average of which was 13.1 month.There are 143 people have gained the postoperative follow-up， and the rate of the postoperative follow-up was 88.8%. There were 2 people with imbalanced face after receiving the double-fold eyelid shape taking operation，but they are satisfied after the adjustment of the original line incision surgery.The shape of the double-fold eyelid was beautiful，and the incisional scar was not obvious，which wins the high degree of the satisfaction. Conclusion Better the eyelash margin incision surgery with the application of biological protein line， and it bears the merits of not taking out stitches， easily to recover and the scar is not obvious.
Key words：upper eyelid plasty；biologic protein line；palpebral margin incision
重睑成形术全称为双睑皱襞成形术，又称重睑皱襞成形术，是应用最为广泛的眼部整形美容手术之一[1]。重睑术的方法有很多，各有其利弊[2]。如传统的切开法重睑术存在恢复时间长、切口瘢痕较明显、拆线时疼痛的缺点，针对这些缺陷我们将经睫毛缘切口法进行改良的基础上联合生物蛋白线(商品名：邦达可吸收蛋白线中山市邦达医用制品有限公司)，行重睑术，应用于临床，术后效果满意，现报道如下。
1 资料和方法
1.1一般资料：选取2010年5月～2014年1月我院收治的161例双侧单睑的求美者。采用经睫毛缘切口法进行收治的改良的基础上联合生物蛋白线行重睑术，求美者均行术前常规体检排除手术禁忌证，且均有强烈愿望行重睑成形术。所有病例既往未行重睑手术。其中女性157例(314侧)，男性4例(8侧)，年龄18～38岁，平均25.4岁。 (陈光平 刘金华 胡秀龙 林秀兰)