眉下切口提眉术联合重睑成形术在上睑年轻化中的应用效果

目的 探究眉下切口提眉术联合重睑成形术在上睑年轻化中的应用效果。方法 选择2020年8月-2022年8月于我院行上睑年轻化治疗的80例患者为研究对象,根据所用术式不同分为对照组和研究组,各40例。对照组给予眉下切口提眉术治疗,研究组给予眉下切口提眉术联合重睑成形术,比较两组皮肤松弛改善效果、眉部高度、上睑皱纹Lemperle评分改善量、并发症发生情况及治疗满意度。结果 研究组术后3、6个月瞳孔中点处基线至上睑缘的距离（MRD）、角膜内侧睑缘与重睑褶皱距离（MCMFD）、瞳孔中点睑缘与重睑褶皱距离（MPMFD）、外眦处睑缘与重睑褶皱距离（LCMFD）均高于对照组（P＜0.05）;研究组术后6个月角膜内侧眉高（MCBH）、瞳孔中点眉高（MPBH）及外眦处眉高（LCBH）均高于对照组（P＜0.05）;研究组术后3、6个月上睑皱纹Lemperle评分改善量均高于对照组（P＜0.05）;两组并发症发生率比较,差异无统计学意义（P＞0.05）;研究组治疗满意度为95.00%,高于对照组的77.50%（P＜0.05）。结论 眉下切口提眉术联合重睑成形术在上睑年轻化中的应用效果确切,可有效改善上睑皮肤松弛,稳定眉部高度,且不会增加术后并发症发生风险,患者满意度较高,值得临床应用。

Application Effect of Eyebrow Lifting Surgery Combined with Double Eyelid Plasty in Upper Eyelid Rejuvenation

Objective To investigate the effect of eyebrow lifting surgery combined with double eyelid plasty in upper eyelid rejuvenation. Methods A total of 80 patients who underwent upper eyelid rejuvenation in our hospital from August 2020 to August 2022 were selected as the research objects. According to the different surgical methods, they were divided into control group and study group, with 40 patients in each group. The control group was treated with eyebrow lifting surgery, and the study group was treated with eyebrow lifting surgery combined with double eyelid plasty. The improvement effect of skin relaxation, eyebrow height, improvement of Lemperle score of upper eyelid wrinkle, complications and treatment satisfaction were compared between the two groups. Results The margin reflex distance (MRD), medial corneal margin-fold distance (MCMFD), medial corneal margin-fold distance (MCMFD), and lateral canthus margin-fold distance (LCMFD) in the study group were higher than those in the control group at 3 and 6 months after operation (P<0.05). The medial corneal eyebrow height (MCBH), middle pupil eyebrow height (MPBH) and lateral canthus eyebrow height (LCBH) in the study group were higher than those in the control group at 6 months after operation (P<0.05). The improvement of Lemperle score of upper eyelid wrinkles in the study group was higher than that in the control group at 3 and 6 months after operation (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). The treatment satisfaction of the study group was 95.00%, which was higher than 77.50% of the control group (P<0.05). Conclusion Eyebrow lifting surgery combined with double eyelid plasty is effective in upper eyelid rejuvenation, which can effectively improve upper eyelid skin relaxation, stabilize eyebrow height, and will not increase the risk of postoperative complications. Meanwhile, the patient satisfaction is high, which is worthy of clinical application.