朱吉凤 刘新昊 杨天荣

    [摘要]目的：探討保留眼轮匝肌肌皮瓣切开法重睑术的临床疗效。方法：选取2019年6月-2020年1月于重庆医科大学附属第一医院整形烧伤外科行双侧切开重睑成形术患者100例，随机分为实验组和对照组，各50例。实验组施行保留眼轮匝肌肌皮瓣重睑术，对照组施行传统重睑术。对比分析两组术后上眼睑肿胀情况、切口瘢痕、重睑形态、并发症及患者满意度。结果：实验组术后1d、2d、3d、4d、1周、2周、3周、4周肿胀评分均低于对照组，实验组术后6个月切口瘢痕评分、重睑形态等级评分均低于对照组，实验组术后1个月、6个月满意度评分均高于对照组，差异均有统计学意义(P0.05)。结论：保留眼轮匝肌肌皮瓣切开重睑术术后肿胀轻，恢复快，瘢痕不明显，重睑更自然、灵动，操作相对简单，值得推广。

    [关键词]重睑成形术;切开法;眼轮匝肌;肌皮瓣;并发症;疗效

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2021)10-0065-04

    Clinical Analysis of Blepharoplasty with Preservation of Orbicularis Oculi Myocutaneous Flap

    ZHU Ji-feng，LIU Xin-hao，YANG Tian-rong

    (Department of Plastic and Burn Surgery，First Affiliated Hospital of Chongqing Medical University，Chongqing 400016，China)

    Abstract： Objective? To explore the clinical efficacy of blepharoplasty with preservation of orbicularis oculi myocutaneous flap. Methods? A total of 100 patients who underwent bilateral blepharoplasty with the incision method in the department of plastic and burn surgery of the First Affiliated Hospital of Chongqing Medical University from June 2019 to January 2020 were randomly divided into the experimental group (n=50) and the control group (n=50). The experimental group was treated with reserved orbicularis oculi myocutaneous flap in blepharoplasty. The control group was treated with traditional blepharoplasty. The swelling of upper eyelid ......