中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2014年
6期
409-413
,共5页
李铭%谢义德%周亚宽%詹明坤%王立敏%陈彦茹%郭永年
李銘%謝義德%週亞寬%詹明坤%王立敏%陳彥茹%郭永年
리명%사의덕%주아관%첨명곤%왕립민%진언여%곽영년
重睑成形术%外科手术,微创性%前瞻性研究%病例对照研究
重瞼成形術%外科手術,微創性%前瞻性研究%病例對照研究
중검성형술%외과수술,미창성%전첨성연구%병례대조연구
Construction of double eyelid%Surgical procedures,minimally invasive%Prospective studies%Case-control studies
目的 评价中央小切口微创重睑术与内中外小切口重睑术的临床效果.方法 选择2010年7月至2012年5月在福建医科大学附属协和医院整形外科接受双侧重睑手术患者作为研究对象,根据随机数字表将其分为A、B两组,其中A组268例采用中央小切口微创重睑术,B组102例采用内中外小切口重睑术.记录每例手术耗时、术后消肿恢复时间、有无明显淤青或血肿、重睑变浅或消失的比例及瘢痕增生、术后效果及患者满意度评价,并于术前、术后即刻、1、2、4、8、12周时分别拍照、记录.分别用Wilcoxon秩和检验分析2组手术时间、消肿恢复时间,用卡方检验分析2组重睑变浅或消失、术后瘢痕满意程度,用t检验分析2组患者满意度综合评分是否有统计学差异.结果 A组手术时间为(25.63±3.74) min,短于B组的(29.90-±4.13) min(Z=-8.011,P＜0.01);A组术后最早1周开始消肿,最晚4周,消肿速度快于B组(Z=-15.887,P＜0.01);术后淤青发生率为1.49％,低于B组的7.84％ (P ＜0.05),且无重睑变浅、消失病例,患者对术后瘢痕均表示满意.A组患者综合满意度评价得分为(97.302±1.764)分,优于B组的(88.628±10.880)分(t=12.650,P＜0.05).结论 中央小切口微创重睑术具有手术简单易行、效果自然确切、术后恢复较快、并发症相对较小、易于学习等优点,适用于除上睑皮肤松弛外的所有单睑者.
目的 評價中央小切口微創重瞼術與內中外小切口重瞼術的臨床效果.方法 選擇2010年7月至2012年5月在福建醫科大學附屬協和醫院整形外科接受雙側重瞼手術患者作為研究對象,根據隨機數字錶將其分為A、B兩組,其中A組268例採用中央小切口微創重瞼術,B組102例採用內中外小切口重瞼術.記錄每例手術耗時、術後消腫恢複時間、有無明顯淤青或血腫、重瞼變淺或消失的比例及瘢痕增生、術後效果及患者滿意度評價,併于術前、術後即刻、1、2、4、8、12週時分彆拍照、記錄.分彆用Wilcoxon秩和檢驗分析2組手術時間、消腫恢複時間,用卡方檢驗分析2組重瞼變淺或消失、術後瘢痕滿意程度,用t檢驗分析2組患者滿意度綜閤評分是否有統計學差異.結果 A組手術時間為(25.63±3.74) min,短于B組的(29.90-±4.13) min(Z=-8.011,P＜0.01);A組術後最早1週開始消腫,最晚4週,消腫速度快于B組(Z=-15.887,P＜0.01);術後淤青髮生率為1.49％,低于B組的7.84％ (P ＜0.05),且無重瞼變淺、消失病例,患者對術後瘢痕均錶示滿意.A組患者綜閤滿意度評價得分為(97.302±1.764)分,優于B組的(88.628±10.880)分(t=12.650,P＜0.05).結論 中央小切口微創重瞼術具有手術簡單易行、效果自然確切、術後恢複較快、併髮癥相對較小、易于學習等優點,適用于除上瞼皮膚鬆弛外的所有單瞼者.
목적 평개중앙소절구미창중검술여내중외소절구중검술적림상효과.방법 선택2010년7월지2012년5월재복건의과대학부속협화의원정형외과접수쌍측중검수술환자작위연구대상,근거수궤수자표장기분위A、B량조,기중A조268례채용중앙소절구미창중검술,B조102례채용내중외소절구중검술.기록매례수술모시、술후소종회복시간、유무명현어청혹혈종、중검변천혹소실적비례급반흔증생、술후효과급환자만의도평개,병우술전、술후즉각、1、2、4、8、12주시분별박조、기록.분별용Wilcoxon질화검험분석2조수술시간、소종회복시간,용잡방검험분석2조중검변천혹소실、술후반흔만의정도,용t검험분석2조환자만의도종합평분시부유통계학차이.결과 A조수술시간위(25.63±3.74) min,단우B조적(29.90-±4.13) min(Z=-8.011,P＜0.01);A조술후최조1주개시소종,최만4주,소종속도쾌우B조(Z=-15.887,P＜0.01);술후어청발생솔위1.49％,저우B조적7.84％ (P ＜0.05),차무중검변천、소실병례,환자대술후반흔균표시만의.A조환자종합만의도평개득분위(97.302±1.764)분,우우B조적(88.628±10.880)분(t=12.650,P＜0.05).결론 중앙소절구미창중검술구유수술간단역행、효과자연학절、술후회복교쾌、병발증상대교소、역우학습등우점,괄용우제상검피부송이외적소유단검자.
Objective To compare the clinical effect of the double eyelid blepharoplasty with central minimal incision and with three minimal incisions.Methods From Jul.2010 to May 2012,268 cases (Group A) received double eyelid blepharoplasty with central minimal incision,while 102 cases (Group B) underwent double eyelid blepharoplasty with three minimal incisions.Photos were taken immediately,and 1,2,4,8,12 weeks after operation.Operation time,recovery time and postoperative complications were evaluated and recorded.The operation time and recovery time were analyzed by Wilcoxon rank sum test.The postoperative complications were analyzed by chi square test.The satisfactory degree was analyzed by t test.Results The operation time in Group A was (25.63-± 3.74) min,compared with that (29.90 ±4.13) min in Group B (Z =-8.011,P ＜0.01).Meanwhile,the recovery time in Group A was shorter than that in Group B (Z=-t5.887,P＜0.01).The occurrence rate of postoperative complications,including hematoma,recurrence and scar hyperplasia in Group A was also lower than that in Group B.At the same time,the satisfactory degree in Group A was(97.302-± 1.764),which was higher than that(88.628 ±-10.880) in Group B (t=12.650,P＜0.05).Conclusions The double eyelid blepharoplasty with central minimal incision,which is suitable for all cases except those who has serious blepharochalsais,has more advantages than double eyelid blepharoplasty with three minimalincisions.
