眼整形“基本盘”，咱们应该关注什么？|直播复盘
<img src="https://mmbiz.qpic.cn/mmbiz_jpg/ff7ZHM6O0XnKXYnp9CEAwzO8sy1ZtF8xo8AtumJQVbibBWHZ4GicnUb7GL3vrDUkyoLzoRPkumPF9NWrR8SKA9eQ/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ff7ZHM6O0XlXtJtFORYAjX9NIvIZdMPdGNXBszzTicIPVFoSGlTHm0zvZurE8HYfOIiaib4wRZjEhRd2B4lELDDpg/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/ff7ZHM6O0XlXtJtFORYAjX9NIvIZdMPdxKEG7UDRibQ8gBv4koawbE2z22M6FpfkarXEacjnnCv3ZEAibCiaWUXYA/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">在</span><span style="color: black;">眼整形手术中，<span style="color: black;">大夫</span><span style="color: black;">必须</span><span style="color: black;">保准</span>外观的<span style="color: black;">漂亮</span>和眼部功能的完整，<span style="color: black;">同期</span><span style="color: black;">尽可能</span>减少对组织不必要的干扰。这一理念是所有眼整形<span style="color: black;">大夫</span>的专业基石，不可或缺</span><span style="color: black;">。</span><span style="color: black;">正如俗话说，“<span style="color: black;">基本</span>不牢，地动山摇”，这强调了<span style="color: black;">基本</span>知识的重要性。<span style="color: black;">仅有</span>深刻理解眼部生理，<span style="color: black;">咱们</span><span style="color: black;">才可</span>在追求美学效果的<span style="color: black;">同期</span>，<span style="color: black;">保证</span>眼部功能的完整性。</span><span style="color: black;"><span style="color: black;">4月10日，在【眼整形“强基登峰”】系列公益直播课上，<strong style="color: blue;">河南省胸科医院眼科专家关改新<span style="color: black;">专家</span></strong>开启了【眼整形第</span></span><span style="color: black;">一课】。</span><span style="color: black;"><span style="color: black;">她为<span style="color: black;">咱们</span>带来了一次关于眼部解剖的深入讲解，并<span style="color: black;">仔细</span>分析了眼整形手术中的<span style="color: black;">重视</span>事项以及<span style="color: black;">怎样</span>有效管理术后并发症。</span></span><span style="color: black;"><span style="color: black;">在直播中<span style="color: black;">运用</span>了20页的PPT，进行了1小时的专业讲解。若想<span style="color: black;">得到</span>更深入的内容，欢迎</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">经过</span>美沃斯APP观看直播回放。</span></strong><span style="color: black;"><span style="color: black;">同期</span>，<span style="color: black;">针对</span><span style="color: black;">期盼</span>快速把握核心观点的读者，本文<span style="color: black;">供给</span>了文字精炼的总结。</span></span><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/ff7ZHM6O0Xn6UmjptO1aoia8ugeMsQnS7ibhgySRQVlYFuFlmgicaF2D5WmOasiaoiacicnNnqDumibhNMicdYLcp8jMrw/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ff7ZHM6O0XnKXYnp9CEAwzO8sy1ZtF8xr3n4LXh4rYSP7UUsdZM6m54OJibEKlAuex6fXMFR5HGsIIrffBmduDA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ff7ZHM6O0XlXtJtFORYAjX9NIvIZdMPd0qA7cTNylWOorCr96MaW5upeoqUZzPwdFtEt1OblfAGgg6aTtPO5UA/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">划重点：眼整形<span style="color: black;">第1</span>课</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">01划重点：不要忽略眼的<span style="color: black;">本来</span>功能</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有些并发症从理论上讲是<span style="color: black;">不该</span>该<span style="color: black;">显现</span>的。在追求美的过程中，<span style="color: black;">咱们</span><span style="color: black;">必要</span>理解，虽然眼睛<span style="color: black;">不可</span>说话，它试图向<span style="color: black;">咱们</span>传达的核心信息是：无论何种手术，其<span style="color: black;">最后</span>目的都应是<span style="color: black;">保准</span>眼的功能。在进行眼整形手术时，<span style="color: black;">咱们</span>可能会进行<span style="color: black;">有些</span>小的<span style="color: black;">调节</span>，<span style="color: black;">然则</span>绝<span style="color: black;">不可</span><span style="color: black;">由于</span>追求美观而破坏其解剖结构和生理功能。否则，可能会<span style="color: black;">显现</span><span style="color: black;">有些</span>本<span style="color: black;">不该</span>该<span style="color: black;">显现</span>的并发症。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">02划重点：不要过于迎合求美者的需求</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在眼部整形手术中，<span style="color: black;">咱们</span>应避免过度迎合求美者的期望，<span style="color: black;">以避免</span>破坏眼睛的正常功能。眼睛的开合由提上睑肌、眼轮匝肌等肌肉协同工作，任何对这些肌肉的<span style="color: black;">欠妥</span><span style="color: black;">干涉</span>都可能<span style="color: black;">引起</span>眼睑运动失衡。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">进行内外眼角整形时，<span style="color: black;">咱们</span>不<span style="color: black;">意见</span>过度修改，<span style="color: black;">以避免</span>违背眼部的自然解剖结构和生理功能。例如，<span style="color: black;">有些</span>手术可能为了追求更开阔的眼角效果，而过度改造，这并不是<span style="color: black;">咱们</span><span style="color: black;">举荐</span>的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另外</span>，<span style="color: black;">倘若</span>提肌手术<span style="color: black;">没法</span>有效<span style="color: black;">纠正</span>眼睑位置，可能<span style="color: black;">必须</span><span style="color: black;">思虑</span><span style="color: black;">运用</span>额肌的力量。但需<span style="color: black;">重视</span>，额肌手术并非仿生手术，它不完全模拟天然生理机制。<span style="color: black;">因此呢</span>，<span style="color: black;">咱们</span>应<span style="color: black;">尽可能</span>利用现有的解剖结构和生理机制，以达到自然且符合生理的手术结果。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在进行CFS手术时，<span style="color: black;">亦</span>应<span style="color: black;">尽可能</span>减少对眼轮匝肌的干扰。无论是上睑还是下睑手术，睑板前的眼轮匝肌都<span style="color: black;">不该</span>被完全剔除，<span style="color: black;">以避免</span>影响眼睛的正常闭合。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">03划重点：<span style="color: black;">重视</span>结构的<span style="color: black;">守护</span></span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">眼部整形手术中，应避免过度<span style="color: black;">干涉</span><span style="color: black;">引起</span>结膜暴露，这可能会<span style="color: black;">导致</span>严重的干涩症状，影响眼睛的完整性和功能。</span><span style="color: black;"><span style="color: black;">另外</span>，手术中需<span style="color: black;">尤其</span><span style="color: black;">重视</span>避免睑板全层穿透，以预防角膜溃疡或刺激症状，这对<span style="color: black;">病人</span>的舒适度和视觉健康至关重要。在执行CFS或其他类似的提肌缩短手术时，<span style="color: black;">大夫</span>应<span style="color: black;">小心</span>操作，以防止术后并发症，如眼睑闭合不全。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">下睑手术时，睑板腺开口的外翻<span style="color: black;">一样</span>需避免，<span style="color: black;">由于</span>它会破坏眼表的动态平衡，可能<span style="color: black;">诱发</span>干眼症等不适。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">04划重点：手术中<span style="color: black;">必须</span><span style="color: black;">重视</span>的最小<span style="color: black;">干涉</span>原则</span></strong></span></p><span style="color: black;">手术中应<span style="color: black;">尽可能</span>减少对眼部正常结构的干扰，如非必要，避免完全切除或过度修薄眼睑组织，以保持眼睑的正常功能和外观。</span><span style="color: black;"><span style="color: black;">精细</span>操作：手术需<span style="color: black;">精细</span>，避免不必要地切除或修整眼睑组织，以维持眼睑的正常功能和外观。</span><span style="color: black;"><span style="color: black;">守护</span>泪腺：在处理泪腺脱垂时，应<span style="color: black;">尽可能</span>减少对泪腺实质和导管的干扰，避免完全切除。</span><span style="color: black;">开眼角手术：小心<span style="color: black;">守护</span>泪小点和泪小管，避免<span style="color: black;">损害</span><span style="color: black;">引起</span>不自主流泪。</span><span style="color: black;">下睑手术：<span style="color: black;">思虑</span>到重力对下睑的影响，避免过度去除脂肪或皮肤，以防下睑外翻或退缩。</span><span style="color: black;">切口位置：避免在睑缘下2-3毫米内做大动作，减少瘢痕挛缩<span style="color: black;">危害</span>。</span><span style="color: black;">眼睑平衡：保持眼睑的动态平衡，避免因过度去除组织而打破张力平衡。</span><span style="color: black;">并发症处理：对手术后可能<span style="color: black;">显现</span>的下睑外翻或退缩，进行适当的<span style="color: black;">纠正</span>。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">05划重点：下睑手术术前<span style="color: black;">评定</span>防患于未然</span></strong></span><span style="color: black;">在进行下睑手术时，<span style="color: black;">咱们</span><span style="color: black;">必要</span>采取预防<span style="color: black;">办法</span>以避免并发症。术前应进行全面<span style="color: black;">评定</span>、沟通，并进行牵拉<span style="color: black;">实验</span>来预测下睑的张力平衡。这些<span style="color: black;">实验</span><span style="color: black;">帮忙</span><span style="color: black;">咱们</span><span style="color: black;">评定</span>下睑在受到牵拉时的回弹<span style="color: black;">状况</span>，<span style="color: black;">一般</span>下睑的牵拉范围<span style="color: black;">不该</span>超过6毫米，以判断韧带的松紧状态。</span><span style="color: black;">牵拉回弹测试，<span style="color: black;">针对</span><span style="color: black;">选取</span>手术<span style="color: black;">办法</span>和预防下睑外翻等并发症至关重要。手术中，<span style="color: black;">咱们</span>需<span style="color: black;">尤其</span><span style="color: black;">重视</span><span style="color: black;">守护</span>下睑板线前5毫米处的轮匝肌，以维持眼睑稳定性。无论是睑板切除术还是悬吊手术，<span style="color: black;">咱们</span>的<span style="color: black;">目的</span>都是防患于未然，<span style="color: black;">保证</span><span style="color: black;">病人</span>术后能够舒适，避免<span style="color: black;">她们</span><span style="color: black;">由于</span>并发症而夜<span style="color: black;">不可</span>寐。</span><span style="color: black;"><span style="color: black;">经过</span>对上下眼睑及其解剖位置的深入理解，以及对<span style="color: black;">每一个</span>组织结构和它们相应的生理功能有透彻的<span style="color: black;">把握</span>，<span style="color: black;">咱们</span>就能够更有效地在采取<span style="color: black;">区别</span>手术方式时，避免并发症的<span style="color: black;">出现</span>。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">06划重点：对并发症应该有<span style="color: black;">那些</span>充分的认识</span></strong></span><span style="color: black;">术后眼睛发红有多种<span style="color: black;">原由</span>，不<span style="color: black;">必定</span>直接与手术<span style="color: black;">相关</span>。</span><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/ff7ZHM6O0Xn6UmjptO1aoia8ugeMsQnS7WD9wZM5ae5bs9Js8TSRNP3iagF60jibho9ypFBOib0vclO00bsgkhmOhw/640?wx_fmt=png&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">白眼球布满红血丝，<span style="color: black;">通常</span><span style="color: black;">来讲</span>，与<span style="color: black;">咱们</span>的手术不<span style="color: black;">必定</span>有直接关系。针对这种<span style="color: black;">状况</span>，<span style="color: black;">咱们</span><span style="color: black;">首要</span>要问<span style="color: black;">病人</span><span style="color: black;">是不是</span>有分泌物。<span style="color: black;">实质</span>上，这种<span style="color: black;">状况</span>不<span style="color: black;">必定</span>是我们手术<span style="color: black;">导致</span>的，<span style="color: black;">亦</span>可能是他偶然<span style="color: black;">显现</span>的结膜炎症，巩膜炎症，<span style="color: black;">或</span>虹膜炎症，与手术无直接<span style="color: black;">相关</span>。</span><span style="color: black;">片状的鲜红色结膜下淤血，可能与<span style="color: black;">咱们</span>手术中某个<span style="color: black;">过程</span>对结膜下血管的干扰有直接关系，<span style="color: black;">导致</span>血管自发性破裂。这种<span style="color: black;">状况</span><span style="color: black;">一般</span>不会有<span style="color: black;">显著</span>的刺痛，<span style="color: black;">病痛</span>，或视力<span style="color: black;">阻碍</span>，<span style="color: black;">因此呢</span><span style="color: black;">咱们</span><span style="color: black;">一般</span>只需<span style="color: black;">经过</span>安抚，并<span style="color: black;">经过</span>点润滑眼药水或人工泪液来缓解。</span><span style="color: black;">术后出现的散在红血丝，可能与<span style="color: black;">咱们</span>的手术有直接或间接的关系。这种<span style="color: black;">状况</span><span style="color: black;">平常</span>于干眼症群体，<span style="color: black;">由于</span>眼睛干涩<span style="color: black;">诱发</span>结膜血管的反跳性或刺激性充血。这<span style="color: black;">亦</span><span style="color: black;">能够</span><span style="color: black;">经过</span>让<span style="color: black;">病人</span>多闭眼<span style="color: black;">休憩</span>，或<span style="color: black;">运用</span>人工泪液得到良好缓解。</span><span style="color: black;">球结膜的混合性充血，<span style="color: black;">平常</span>于角膜刺激症状。这提醒<span style="color: black;">大夫</span>在回顾手术的每一个细节时，要<span style="color: black;">重视</span><span style="color: black;">是不是</span>有缝线刺激或在擦拭血液时<span style="color: black;">是不是</span>有角膜机械性<span style="color: black;">损害</span>。对此，应询问<span style="color: black;">病人</span><span style="color: black;">是不是</span>有眼痛、流泪等角膜刺激症状，从而进行充分鉴别，以便<span style="color: black;">即时</span>处理。</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直播预告：</span></strong><strong style="color: blue;"><span style="color: black;">4月24日，本周三晚8点，将开启直播。预约观看请关注美沃斯大会小程序。</span></strong></span><span style="color: black;"><span style="color: black;">课程详情安排如下</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;"> 你的话深深触动了我，仿佛说出了我心里的声音。 我完全赞同你的观点，思考很有深度。
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