【摘要】：目的： 通過術后瘢痕美觀度這一參照物，來評價反Z法與橫切縱縫法兩種術式在矯正同等程度內眥贅皮的優(yōu)劣性。 方法： 選取2012年2月至2013年7月期間于我院行內眥贅皮矯正術的患者202例（404只眼），按內眥贅皮嚴重程度分為A組（輕度）、B組（中度）和C組（重度）。A組患者中經隨機選擇采用反Z法的為a1組，采用橫切縱縫法的為a2組。同理，B組分為b1和b2組；C組分為c1和c2組。術后3個月采用患者和觀察者瘢痕評價量表（POSAS）對內眥部瘢痕進行評價；同時拍攝數(shù)碼相片并由研究外人員進行獨立評價。 結果： 共有198例（396只眼）患者完成了隨訪。 A、B和C組中含的各小組間患者的一般臨床特征差異均無統(tǒng)計學意義（P0.05）。術后3個月的對比結果為：A組患者的瘢痕總體滿意度評分分別為a1（2.10±0.20）分和a2（2.20±0.32）分，2組間比較差異無統(tǒng)計學意義（P=0.241）；b1組（2.44±0.47）的瘢痕總體滿意度評分優(yōu)于b2組（4.55±0.55），2組間比較差異有統(tǒng)計學意義（P=0.010）；c1組（4.70±0.71）患者的瘢痕總體滿意度優(yōu)于c2組（6.00±0.53），，2組間比較差異有統(tǒng)計學意義（P=0.041）。其他的瘢痕評價量表（包括PSAS評分和OSAS評分）與研究外人員對瘢痕數(shù)碼相片的評價差異結果也支持以上論斷。 結論： 從本試驗有限的病例來看，對于輕度的內眥贅皮，患者對兩種術式術后瘢痕的滿意度無差異；但是對于中、重度的內眥贅皮，患者對反Z法的術后瘢痕滿意度高于橫切縱縫法。
[Abstract]:Objective: to evaluate the advantages and disadvantages of reverse Z method and transverse longitudinal suture method in correction of epicanthus. Methods: 202 patients (404 eyes) undergoing epicanthus correction from February 2012 to July 2013 in our hospital were divided into group A (mild) and group C (severe) according to the severity of epicanthus. Group A1 was randomly selected to use anti-Z method. Group A 2 with transverse longitudinal slit. Group B was divided into group B1 and group B _ 2, and group C was divided into group C1 and group c _ 2. Three months after operation, patients and observers were evaluated with the scar evaluation scale (POSAS) and digital photographs were taken and evaluated independently. Results: a total of 198 patients (396 eyes) were followed up. There was no significant difference in the general clinical characteristics between the patients in group A B and group C (P0.05). 3 months after operation, there was no significant difference between the two groups (P < 0. 241). The overall satisfaction score of scar in group A was (2. 10 鹵0. 20) and (2. 20 鹵0. 32), respectively. The overall satisfaction degree of scar in group B1 (2.44 鹵0.47) was better than that in group B2 (4.55 鹵0.55). There was significant difference between group B 2 (P < 0.010) and group C 1 (4.70 鹵0.71). The overall satisfaction of scar in group B1 was better than that in group c 2 (6.00 鹵0.53) (P 0.041). Other scar evaluation scales (including PSAS score and OSAS score) also supported the above conclusion. Conclusion: for mild epicanthus, there is no difference in satisfaction with the scar after operation, but for moderate and severe epicanthus, there is no significant difference between the patients with moderate and severe epicanthus. The postoperative scar satisfaction of patients with anti-Z method was higher than that of cross-cutting longitudinal suture method.
【學位授予單位】：南昌大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R779.6

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