摘要目的 探讨双重固定法改良三点微创重睑术的临床效果.方法 2015年4月至2016年12月,对82例患者行改良三点微创重睑术.于上睑设计内、中、外3个3 mm小切口,去除部分眼轮匝肌和睑板前脂肪,分深、浅2层分别将切口深面的睑板前筋膜与眼轮匝肌和皮肤进行缝合固定,形成重睑.结果 随访3～l8个月,患者均在7～12d内完全消肿,重睑线形成持久、形态自然、线条流畅、瘢痕不明显,满意度高.结论 双重固定法改良三点微创重睑术效果确切、形态逼真,损伤小、恢复快.

abstractsObjective To investigate the clinical effect of modified three minimally invasive blepharoplasty of double-fixation method.Methods From April 2015 to December 2016,82 patients were included,all received minimally invasive blepharoplasty.Three 3 mm-long small incision (at medial,middle and lateral) were designed,then part of the orbicularis oculi muscle and pretarsal fat were removed.Pretarsal fascia was then sutured with orbicularis oculi muscle and skin with two-layer-suture to form double eyelid respectively.Results With up to 18 months follow-up,all patients had short period of detumescence within 7-12 days,high satisfaction rate with long lasting and natural double eyelid shape were achieved,no obvious scarring was noted.Conclusions Modified three minimally invasive blepharoplasty of double-fixation method has presented the merits of accurate presentation,natural shape,quicker recovery and less trauma,which makes it worthy of clinical presentation.