【摘要】：目的： 通過術(shù)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(shù)式在矯正同等程度內(nèi)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(nèi)眥贅皮矯正術(shù)的患者202例（404只眼），按內(nèi)眥贅皮嚴(yán)重程度分為A組（輕度）、B組（中度）和C組（重度）。A組患者中經(jīng)隨機(jī)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(shù)后3個月采用患者和觀察者瘢痕評價量表（POSAS）對內(nèi)眥部瘢痕進(jìn)行評價；同時拍攝數(shù)碼相片并由研究外人員進(jìn)行獨(dú)立評價。 結(jié)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(xué)意義（P0.05）。術(shù)后3個月的對比結(jié)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(xué)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(xué)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(xué)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(jié)果也支持以上論斷。 結(jié)論： 從本試驗有限的病例來看，對于輕度的內(nèi)眥贅皮，患者對兩種術(shù)式術(shù)后瘢痕的滿意度無差異；但是對于中、重度的內(nèi)眥贅皮，患者對反Z法的術(shù)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(xué)位授予單位】：南昌大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R779.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 宋茂啟;呂敏;;微切口內(nèi)眥贅皮矯正術(shù)[J];河南醫(yī)學(xué)研究;2011年02期

2 王為農(nóng),李斌;重瞼術(shù)中深部組織切除矯正內(nèi)眥贅皮[J];中國美容醫(yī)學(xué);2000年05期

3 馮越蹇;張海明;胡守舵;韓星;;內(nèi)眥贅皮的分類及相應(yīng)治療方法探討[J];中國美容醫(yī)學(xué);2007年04期

4 梁志偉;王玉柱;;重瞼術(shù)同期Y-V推進(jìn)新月形去皮法矯正內(nèi)眥贅皮[J];中國美容醫(yī)學(xué);2009年05期

5 陳遠(yuǎn)琨;蒲興旺;蕭慶昌;謝文楊;王勇丁;黃亮;;鼻側(cè)腱膜內(nèi)固定法內(nèi)眥贅皮矯正術(shù)[J];中國美容醫(yī)學(xué);2009年11期

6 劉翠云;柳向東;黎俊霞;劉雪梅;易傳勛;;改進(jìn)的內(nèi)眥贅皮矯治術(shù)聯(lián)合重瞼成形術(shù)Ⅰ期成形[J];中國美容整形外科雜志;2007年04期

7 趙菁芳;劉丹;;橫切口內(nèi)眥贅皮聯(lián)合重瞼成形術(shù)療效觀察[J];眼科;2009年02期

8 宋建星,孫美慶,陳江萍,邢新,郭恩覃;東方人內(nèi)眥贅皮的解剖及治療[J];中華醫(yī)學(xué)美學(xué)美容雜志;2001年05期

9 周孝麟;;橫切縱縫法矯正內(nèi)眥贅皮[J];中華醫(yī)學(xué)美學(xué)美容雜志;2005年06期

10 張海明,徐洋,鄭行躍,趙玉明,林煌,楊宇,胡守舵,王佳琦;內(nèi)眥贅皮術(shù)式改進(jìn)同期行重瞼成形術(shù)[J];中華整形外科雜志;2003年04期

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