小切口切开法与埋线法联合重睑成形术的应用

目的探讨小切口切开法与埋线法联合较传统无切口埋线法的重睑成形术的优越性。方法将201例单睑者随机分成A、B两组。A组101例，采用小切口切开法与埋线法联合重睑成形术；B组100例，采用传统无切口埋线法重睑成形术；将其手术效果进行比较。结果随访157例，其中A组81例，含薄睑者45例和较厚睑者36例；B组76例，含薄睑者32例和较厚睑者44例。术后1个月，比较A、B两组薄睑者间的重睑形态满意率，差异无统计学意义（P〉0．05），较厚险者间比较，差异有统计学意义（P〈O．05）。术后2．5～3．5年。比较A、B两组重睑维持良好率，薄睑者间及较厚睑者间，差异均有统计学意义（P〈0．05）。结论小切口切开法与埋线法联合的重睑成形术术后，形态满意率及远期疗效均优于传统无切口埋线重睑成形术，具有广泛的应用价值。

Application of mini-incision combined with buried suture in double eyelid plasty

Objective To explore the advantage of the mini-incision doubling eyelid operation comparied with buried suture method.Methods 201 single eyelid cases were randomly divided into 2 groups:group A(101 cases)using mini-incision doubling eyelid operation,and group B(100 cases)using the double eyelid plasty with buried suture.Their effect was comparied.Results 157 cases were received postoperative follow-up.Group A(81 cases)contained 45 thin eyelids and 36 thick eyelids.Group B(76cases)included 32 thin eyelids and 44 thick eyelids.The postoperative follow-up for 1 month revealed that there was no statistically significant difference in the rate of satisfaction between group A and group B among the thin eyelid patients(P＞0.05).But statistic difference was found between A and B group among the thick eyelid patients(P＜0.05).The follow-up period for group A and group B was in the range of 2.5 to 3.5 years.The maintenance-well rate between the thin eyelid and the thick eyelid patients in both groups was significantly different(P＜0.05).Conclusion The mini-incision doubling eyelid operation is superior to the double eyelid plasty with buried suture in the rate of postoperative satisfaction and long-term effect.It is deserved to have more applications.