眶肌筋膜提緊聯合輪匝肌懸吊術在眼袋整形中的應用效果

[摘 要]目的 探究在眼袋整形中應用眶肌筋膜提緊聯合輪匝肌懸吊術的效果。方法 選取2023年1月-12月于寧波鄞州卓美醫療美容門診部行眼袋整形的72例患者為研究對象，隨機分為對照組和觀察組，每組36例。對照組采用輪匝肌懸吊術，觀察組采用眶肌筋膜提緊聯合輪匝肌懸吊術，比較兩組整形效果、美觀度、滿意度及并發癥發生情況。結果 觀察組總有效率為94.44%，高于對照組的75.00%，差異有統計學意義（P<0.05）；觀察組美觀度評分高于對照組，差異有統計學意義（P<0.05）；觀察組滿意度為91.67%，高于對照組的72.22%，差異有統計學意義（P<0.05）；觀察組并發癥發生率為8.33%，低于對照組13.89%，但差異無統計學意義（P>0.05）。結論 眶肌筋膜提緊聯合輪匝肌懸吊術在眼袋整形中的應用效果確切，可有效提升整形效果及美觀度，且術后不會增加并發癥發生幾率，患者滿意度較高，值得臨床應用。

[關鍵詞] 眼袋；眶肌筋膜提緊；輪匝肌懸吊術

[中圖分類號] R622 [文獻標識碼] A [文章編號] 1004-4949（2024）22-0108-04

Application Effect of Orbital Fascia Tightening Combined with Orbicularis Oculi Muscle Suspension in Eye Bag Plastic Surgery

HU Jilai

（Ningbo Yinzhou Zhuomei Medical Beauty Clinic， Ningbo 315000， Zhejiang， China）

[Abstract]Objective To explore the effect of orbital myofascial tightening combined with orbicularis suspension in eye bag plastic surgery. Methods A total of 72 patients who underwent pouch plastic surgery in Ningbo Yinzhou Zhuomei Medical Beauty Clinic from January to December 2023 were randomly divided into control group and observation group， with 36 patients in each group. The control group was treated with orbicularis oculi muscle suspension， and the observation group was treated with orbital fascia tightening combined with orbicularis oculi muscle suspension. The plastic effect， aesthetics， satisfaction and complications were compared between the two groups. Results The total effective rate of the observation group was 94.44%， which was higher than 75.00% of the control group， and the difference was statistically significant （P<0.05）. The aesthetic score of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. The satisfaction rate of the observation group was 91.67%， which was higher than 72.22% of the control group， and the difference was statistically significant（P<0.05）. The incidence of complications in the observation group was 8.33%， which was lower than 13.89% in the control group， but the difference was not statistically significant （P>0.05）. Conclusion The application of orbital fascia tightening combined with orbicularis oculi muscle suspension in eye bag plastic surgery is effective， which can effectively improve the plastic effect and aesthetics. Meanwhile， it will not increase the incidence of postoperative complications， the patient satisfaction is high， which is worthy of clinical application.

[Key words] Eye bag； Orbital fascia tightening； Orbicularis oculi muscle suspension

眼袋（eye bag）指的是下眼瞼位置脂肪溢出及皮膚松弛，導致該部位出現袋狀膨出，不但會對面部美觀造成不良影響，而且可能引起視力模糊及眼部疲勞等[1]。在年齡日益增加的同時，皮膚彈性纖維及膠原蛋白慢慢流失，筋膜組織與皮膚也會隨之松弛，進而形成眼袋[2]。除此之外，不良生活方式、遺傳及長期接觸電子產品等，都可能導致眼袋的出現。臨床上，眼袋患者通常伴有黑眼圈、下眼瞼皮膚松弛及脂肪膨出等，嚴重時還會對眼部功能及視力造成一定影響[3]。……