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我院自1992年12月至1996年6月共行美容手术9590例,其中切开重睑术2031例,占美容手术的21%;切开重睑中,由于各种原因致并发症发生重新修整276例,占切开重睑的13.09%。文中就切开重睑中主要并发症的原因及预防措施进行了讨论。认为:①双侧不对称多由于测量不准确、对上睑皮肤松弛估计不恰当去除多少不协调而皮肤与提上睑肌腱膜固定高低不一致。②多层皱襞由于眼轮匝肌去除后回缩或轮匝肌去除过多,缝合固定时未将轮匝肌固定于切口线上所致。③重睑消失主要是肌下脂肪组织较多未去除及固定于提睑肌腱膜不确实或因切缘皮肤与提睑肌腱膜粘连不牢或较少,由于瘢痕软化渐脱落。④内眦形成不理想是切口未在内眦皱襞上或切口下组织太多占位致重睑线不能向前延伸。
Our hospital from December 1992 to June 1996 9590 cases of cosmetology surgery, including double eyelid surgery 2031 cases, accounting for 21% of cosmetic surgery; double eyelid incision, due to various reasons, the occurrence of complications Dressing 276 cases, accounting for 13.09% of double eyelid incision. The article discusses the reasons for the major complications in double eyelid and preventive measures were discussed. That: ① bilateral asymmetry and more due to inaccurate measurements, the upper eyelid skin is not properly estimated inappropriate removal of the number of uncoordinated skin and levator aponeurosis fixed level of inconsistency. ② multi-fold folds due to the removal of orbicularis muscle retraction or excessive removal of orbicularis muscle, suture fixation is not fixed on the incision orbicularis line due. ③ eyelid disappear mainly subcutaneous subcutaneous adipose tissue is not removed and fixed in the levator aponeurosis is not true or due to cut edge of the skin and levator aponeurosis adhesion is not strong or less, due to scar softening gradually fall off. ④ the formation of internal friction is not ideal is the incision is not within the 眦 襞 或 or under the incision tissue too much weight double eyelid line can not be extended forward.