【摘要】：目的雖然人體測量學(xué)中面部軟組織測量方法的研究已有不少,但針對面部衰老及面部年輕化手術(shù)療效定量化評估測量方法的研究卻鮮有報道。隨著年歲增長,人面部的某些軟組織結(jié)構(gòu)會發(fā)生特征性變化,而某些結(jié)構(gòu)卻相對恒定。因此,可設(shè)定相對恒定的結(jié)構(gòu)作為人體測量的參照標(biāo)準(zhǔn),用于測量面部軟組織的變化情況。研究虹膜直徑尺測量方法在面部軟組織測量中的應(yīng)用,評估微創(chuàng)可調(diào)式面部懸吊提升術(shù)的臨床療效。方法收集30例大連醫(yī)科大學(xué)附屬一院整形外科施行微創(chuàng)可調(diào)式面部懸吊提升術(shù)患者的病例資料,利用Adobe Photoshop軟件對入選病例的照片資料進(jìn)行處理。以"虹膜直徑尺"為測量標(biāo)尺。以兩側(cè)上、下瞼緣在鼻側(cè)的交匯點的水平連線作為測量基線,若兩點不在同一水平線則取兩點中間位置的水平線作為測量基線。測量入選病例手術(shù)前后的3項面部軟組織結(jié)構(gòu)指標(biāo),分別是:容貌外眥高度、半顏面中線上的下頜緣最低點到內(nèi)眥水平線的距離、頦下點到內(nèi)眥水平線距離的水平中線上的面部寬度。獲得數(shù)據(jù)輸入excel表格進(jìn)行記錄和換算,采用配對t檢驗對數(shù)據(jù)結(jié)果進(jìn)行統(tǒng)計學(xué)處理,分析手術(shù)前后面部軟組織的變化情況,評價微創(chuàng)可調(diào)式面部懸吊提升術(shù)的臨床療效。結(jié)果容貌外眥高度:術(shù)前(3.67 ±1.31)單位,術(shù)后(4.84 ±1.26)單位,術(shù)后1年內(nèi)(4.39±0.33)單位,術(shù)后2年內(nèi)(4.18±0.22)單位。半顏面中線上的下頜緣最低點到內(nèi)眥水平線的距離:術(shù)前(188.46±7.47)單位,術(shù)后(182.75±3.38)單位,術(shù)后1年內(nèi)(184.77±2.63)單位,術(shù)后2年內(nèi)(187.19±3.26)單位。頦下點到內(nèi)眥水平線的距離之間的水平中線上的面部寬度:術(shù)前是(202.71±7.48)單位,術(shù)后(187.66±3.58)單位,術(shù)后1年內(nèi)是(192.36±3.39)單位,術(shù)后2年內(nèi)是(195.62±3.75)單位。術(shù)前、術(shù)后差異具有統(tǒng)計學(xué)意義。結(jié)論通過觀察30例微創(chuàng)可調(diào)式面部懸吊提升術(shù)治療后的患者面部軟組織變化情況,可認(rèn)為該術(shù)對面部松垂患者的中下面部提升及輪廓年輕化有良好的效果。
[Abstract]:Objective although there have been many studies on the measurement of facial soft tissue in anthropometry, there are few reports on the quantitative evaluation of the effect of facial aging and facial rejuvenation. As the age increases, some soft tissue structures of the human face undergo characteristic changes, while some structures are relatively constant. Therefore, a relatively constant structure can be set as a reference standard for anthropometric measurement of soft tissue changes in the face. To study the application of iris diameter ruler in the measurement of facial soft tissue, and to evaluate the clinical effect of minimally invasive and adjustable facial suspension lifting. Methods the data of 30 patients undergoing minimally invasive and adjustable facial suspension lifting in plastic surgery of the first affiliated Hospital of Dalian Medical University were collected and the photo data of the selected cases were processed by Adobe Photoshop software. Take the "iris diameter ruler" as the measuring scale. The horizontal line of the upper and lower eyelid border at the confluence of the nasal side is taken as the measurement baseline, and the horizontal line at the middle of the two points is taken as the measurement baseline if the two points are not at the same horizontal line. The three indexes of soft tissue structure before and after operation were measured: the height of the outer canthus and the distance from the lowest point of the mandibular margin to the horizontal line of the inner canthus in the midline of the half face. The width of the face on the horizontal midline between the submental point and the medial canthus. The data were recorded and converted by excel table. The data were statistically processed by paired t test. The changes of facial soft tissue before and after operation were analyzed and the clinical effect of minimally invasive and adjustable facial suspension lifting was evaluated. Results the height of the outer canthus was (3.67 鹵1.31) units before operation, (4.84 鹵1.26) units after operation, (4.39 鹵0.33) units within 1 year after operation and (4.18 鹵0.22) units within 2 years after operation. The distance from the lowest point of the mandibular margin to the medial canthus was (188.46 鹵7.47) units before operation, (182.75 鹵3.38) units after operation, (184.77 鹵2.63) units within 1 year after operation and (187.19 鹵3.26) units within 2 years after operation. The facial width of the median line between the submental point and the medial canthus was (202.71 鹵7.48) units before operation, (187.66 鹵3.58) units after operation, (192.36 鹵3.39) units within 1 year after operation and (195.62 鹵3.75) units within 2 years after operation. Preoperative and postoperative differences were statistically significant. Conclusion by observing the changes of facial soft tissue in 30 patients treated with minimally invasive and adjustable facial suspension lifting, it can be concluded that the operation has a good effect on facial lifting and rejuvenation of facial prolapse.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R62

【參考文獻(xiàn)】

相關(guān)期刊論文 前9條

1 閆飛;王克明;馬繼光;;面中部除皺的小切口選擇[J];組織工程與重建外科雜志;2016年04期

2 孫巖;雷冬梅;盧金富;陳曉浪;李孝紅;張志斌;;生物醫(yī)學(xué)材料在整形美容外科中的應(yīng)用研究進(jìn)展[J];化工新型材料;2016年02期

3 陸海山;郭劍;孫華鳳;茅東升;張旭東;陳志勇;趙啟明;;面部抗衰老除皺術(shù)的研究概況[J];中華保健醫(yī)學(xué)雜志;2015年04期

4 陳倩;向冬喜;王志軍;;面部軟組織測量及除皺術(shù)方法學(xué)應(yīng)用進(jìn)展[J];吉林醫(yī)學(xué);2012年27期

5 劉學(xué)峰;任甫;席煥久;;面部特征及軟組織測量方法的研究進(jìn)展[J];解剖科學(xué)進(jìn)展;2011年02期

6 馬力;任沖;馬海歡;;膨體聚四氟乙烯在單側(cè)唇裂術(shù)后繼發(fā)鼻畸形整復(fù)術(shù)中的應(yīng)用[J];中國美容醫(yī)學(xué);2010年04期

7 潘景光;;頜面部軟組織形態(tài)的三維測量方法[J];口腔醫(yī)學(xué)研究;2009年04期

8 龍麗華;周洪;潘俊君;張艷寧;;面部軟組織激光掃描三維自動測量系統(tǒng)的初步研究[J];中國美容醫(yī)學(xué);2008年05期

9 吳敏娟;張余光;楊軍;王丹茹;汪希;劉天一;濮哲銘;楊群;錢云良;;面部年輕化的術(shù)前評估及預(yù)期效果的定量研究(Ⅰ)[J];中國美容整形外科雜志;2007年05期

相關(guān)博士學(xué)位論文 前1條

1 黃威;東方人面中部脂肪墊在衰老過程中的變化及其在年輕化手術(shù)中的臨床應(yīng)用[D];中國醫(yī)科大學(xué);2006年

相關(guān)碩士學(xué)位論文 前3條

1 劉博一;應(yīng)用A型肉毒毒素改善面下部軟組織輪廓的臨床觀察[D];大連醫(yī)科大學(xué);2015年

2 徐倩倩;1200例遼寧漢族成年人眼周軟組織松垂老化的測量分析[D];大連醫(yī)科大學(xué);2013年

3 田雅光;面中部纖維脂肪墊連續(xù)懸吊除皺術(shù)106例臨床分析[D];大連醫(yī)科大學(xué);2008年

，

本文編號：2252230