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目的:探讨提高下睑袋整复术的手术效果。方法:对208例下睑袋整复术者,针对其不同临床分型分别采用结膜入路眶隔脂肪切除术、皮肤切口入路眶隔缩紧和眼轮匝肌瓣骨膜悬吊固定术、眶隔脂肪移位眶隔膜固定术进行治疗。结果:208例患者术后下睑皮肤平整,无睑退缩及下睑凹陷等并发症,下眶缘、眶鼻沟的凹陷得到明显矫正,下睑缘轮廓自然,远期随访效果满意。结论:针对睑袋形成原因及不同病理改变采用个体化手术设计,术后恢复快,并发症少,手术效果明显、稳定,患者满意度高。
Objective: To explore the effect of improving the operation of the lower eyelid pocket. Methods: 208 patients with lower eyelid pouch were treated by conjunctival orbital lipomyelitis, orbital septum shrinkage and orbicularis oculi ostium periosteal suspension fixation for different clinical types. Orbital fat-displaced orbital septum fixation for treatment. Results: 208 cases of postoperative lower eyelid skin smooth, no eyelid retraction and lower eyelid depression and other complications, the lower orbital margin, orbital nasal deformity was significantly corrected, the lower eyelid edge contour of the natural, long-term follow-up results were satisfactory. Conclusion: The eyelid pouch formation and different pathological changes using individualized surgery design, rapid recovery after surgery, fewer complications, the surgical effect was obvious, stable, patient satisfaction is high.