睑袋整形术同期行眶隔脂肪释放与透明质酸治泪沟畸形的疗效分祈

发布时间：2018-02-02 15:44

  本文关键词： 泪沟 泪沟畸形 睑袋整形术 眶隔脂肪释放 填充　出处：《新疆医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：比较睑袋整形术同时行眶隔脂肪释放与填充剂矫治泪沟畸形后满意度及并发症结果,分析两者优劣。方法：选取2012年10月-2014年10月来我院就诊的68例下睑袋伴泪沟畸形的求美者,按随机数字表法分为A、B两组,每组各34例。A组给予睑袋整形术联合眶隔脂肪释放治疗,B组给予睑袋整形术联合填充剂治疗。术后分别进行6-12个月的随访,比较分析两者的治疗效果与不良反应。结果：A组与B组相比,在下睑退缩、睑外翻并发症上差异无统计学意义(P0.05),在球结膜水肿、小范围出血、皮肤瘀斑并发症上差异有统计学意义(P0.05)。HA注射后6个月后A组与B组泪沟畸形恢复满意度差异无统计学意义(P0.05),12个月后A组与B组泪沟畸形恢复满意度差异有统计学意义(P0.05)。术后6个月A组与B组泪沟畸形基于Barton分级系统比较差异无统计学意义(P0.05),术后12个月A组与B组泪沟畸形基于Barton分级系统比较差异有统计学意义(P0.05)。结论：睑袋整形术联合眶隔脂肪释放是矫治泪沟畸形较为理想的手术方法,填充剂虽然也可矫治泪沟畸形,但由于其存在时效性,并且填充剂治疗本身存在一定并发症,故相对于睑袋整形术联合眶隔脂肪释放治疗有一定局限性。
[Abstract]:Objective: to compare the satisfaction and complications of blepharoplasty with orbital fat release and filling agent in correction of lacrimal sulcus deformity. Methods: 68 cases of lower eyelid bag with lacrimal sulcus malformation from October 2012 to October 2014 were selected and divided into two groups according to random digital table. Each group (34 cases) was treated with blepharoplasty combined with orbital fat release. Group B was treated with blepharoplasty combined with filling agent and followed up 6-12 months after operation. Results there was no significant difference in lower eyelid retraction and ectropion complications between group A and group B. there was no significant difference in the complications of blepharoptosis (P 0.05), edema of bulbar conjunctiva and hemorrhage in small area. There was no significant difference in the recovery satisfaction of lacrimal sulcus deformity between group A and group B 6 months after injection (P 0.05). After 12 months, there was a significant difference in satisfaction with the recovery of lacrimal sulcus deformity between group A and group B (P 0.05). 6 months after operation, there was no significant difference in lacrimal sulcus malformation between group A and group B based on Barton classification system (P 0.05). 12 months after operation, there was a significant difference between group A and group B in lacrimal sulcus malformation based on Barton classification system (P0.05). Conclusion: blepharoplasty combined with orbital fat release is an ideal method for correction of lacrimal sulcus malformation. Although fillers can also be used to correct lacrimal sulcus deformities due to their timeliness and some complications associated with blepharoplasty combined with orbital fat release therapy there are some limitations.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R622
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