反Z法與橫切縱縫法內(nèi)眥贅皮矯正術(shù)后瘢痕的比較分析
[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
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