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目的观察注射用A型肉毒毒素联合眼袋整形术治疗眼周皮肤松弛的效果。方法选取医院收治的眼周皮肤松弛患者84例,依据治疗方法不同分为单一组和联合组,每组42例。单一组予以眼袋整形术治疗,联合组予以注射用A型肉毒毒素联合眼袋整形术治疗。随访1年,比较2组患者皮肤光泽程度、眼袋减轻、鱼尾纹好转情况及不良反应发生率。结果与单一组比较,联合组皮肤光泽增强率、眼袋减轻率、鱼尾纹好转率均较高,差异有统计学意义(P<0.05);联合组不良反应发生率与单一组比较,差异无统计学意义(P>0.05)。结论对眼周皮肤松弛患者予以A型肉毒毒素联合眼袋整形术治疗,效果显著,可明显消除鱼尾纹,减轻眼袋,提高皮肤光泽度,且安全性较高。
Objective To observe the effect of botulinum toxin type A injection combined with orbital plastic surgery for the treatment of periocular skin relaxation. Methods Eighty-four patients with ocular skin relaxation treated in our hospital were divided into single group and combined group according to different treatment methods, with 42 cases in each group. A single group was treated with eye bag plastic surgery, and the combination group was injected with botulinum toxin type A in combination with orbital plastic surgery. The patients were followed up for 1 year. The degree of skin lightening, the reduction of eye bags, the improvement of crow’s feet and the incidence of adverse reactions were compared between the two groups. Results Compared with the single group, the enhancement rate of skin lightening, the reduction of eye bags and the improvement of crow’s feet were higher in the combined group (P <0.05). The incidence of adverse reactions in the combination group was no significant difference compared with the single group Significance (P> 0.05). Conclusion Botulinum toxin type A combined with ophthalmic plastic surgery for the patients with skin loosening in the eye area has significant effect, which can obviously eliminate crow’s feet, relieve eye bags, improve the skin glossiness and have higher safety.