摘要目的 探索眶隔后脂肪移位睑袋成形的手术方法及效果.方法 采用睑缘切口,显露眶隔及眶隔后脂肪,将内侧脂肪团释放并向下睑中央拉拢缝合于睑囊筋膜的弓状扩张部,以横向收紧松弛的下睑,在此基础上再修补加强眶隔及处理肌肉和皮肤、睑袋.结果 38例术后效果满意.结论 眶隔后脂肪移位消除睑袋成形的方法,可以减少出血,防止眼球内陷,减少术后复发概率,远期效果更为理想.

abstractsObjective To explore the baggy eyelids anaplasty through posterior orbital septum fat displacement. Methods Orbital septum and posterior orbital septum fat were exposed through palpebral margin incision, internal orbital septum fat was released and sutured with arcuate expansion of capsulopalpebral fascia at the middle lower eyelid, which was taken as the function of tighting the flaccid lower eyelid at transverse direction. On such a basis, the muscle and skin were repaired and so did orbital septum and baggy eyelids.Results Ofthe 38 patients with this operation, baggy eyelids anaplasty was performed with satisfactory results.Conclusion The method of baggy eyelids plasty through posterior orbital septum fat displacement could reduce hemorrhage, prevent enophthalmos and decrease baggy eye palindromia, with better long-term effects.