整形美容手术效果影响因素分析及预防措施

发布时间：2018-05-05 12:57

本文选题：整形美容 + 手术效果　；参考：《中国医疗美容》2016年11期

【摘要】：目的研究影响整形美容手术效果的因素,制定相关预防措施。方法选择本院烧伤整形外科80例进行整形美容手术患者进行分析,并根据患者的具体情况行隆鼻术、隆胸术、重睑成形术、唇裂修复等整形手术,手术后患者填写满意度调查表,结合所有资料进行分析。结果 80例进行整形美容手术的患者中,28例对手术效果不满意,不满意率为35%。这其中,对手术期望过高者16例,占57.1%,隆鼻患者为4例,除皱患者2例,酒窝再造1例,眼袋整形2例,脂肪抽取2例,睑袋松弛整复1例例,,隆隆乳乳患患者者4例;手术设计存在一定偏差或手术适应症掌握不当者5例,占17.9%,重睑成形患者为3例,隆鼻患者2例,行二次手术后效果理想;术后护理不当导致感染等4例,隆鼻2例,隆乳2例占14.3%,;术后假体材料不合格者3例,占10.%,隆鼻2例,隆乳1例,以上患者均经治疗后痊愈。结论影响整形美容手术效果的因素主要为手术期望过高、手术设计偏差、护理欠缺和整形材料不合适等客观原因,应不断提高医师及护师的专业技能,做好术前术后患者的心理辅导,正确引导术后恢复,严格设计整形材料合适度,才能避免和减少医疗纠纷。
[Abstract]:Objective to study the factors influencing the effect of plastic surgery and to make relevant preventive measures. Methods Eighty patients with burn and plastic surgery in our hospital were analyzed and treated with augmentation rhinoplasty, chest augmentation, double eyelid plasty and cleft lip repair according to the specific conditions of the patients. After the operation, the patients completed the satisfaction questionnaire and analyzed all the data. Results among 80 patients undergoing plastic surgery, 28 cases were not satisfied with the result of operation, and the unsatisfactory rate was 35%. There were 16 cases (57.1%) with high expectation of operation, 4 cases with nose augmentation, 2 cases with wrinkle removal, 1 case with dimple reconstruction, 2 cases with pouch plastic surgery, 2 cases with fat extraction, 1 case with blepharoplasty, 1 case with blepharoplasty, 4 cases with breast implants. There were 5 cases (17.9%) with some deviation in operation design or improper operation indication, 3 cases with double eyelid plasty and 2 cases with nasal augmentation, the effect was satisfactory after secondary operation, 4 cases were infected by improper postoperative nursing, 2 cases were nose augmentation. Breast augmentation in 2 cases accounted for 14.3%, postoperative prosthesis material was not qualified in 3 cases (10.10%), nasal augmentation in 2 cases, breast augmentation in 1 case, all the patients were cured after treatment. Conclusion the main factors affecting the effect of plastic surgery are high surgical expectation, deviation in operation design, lack of nursing care and inappropriate plastic materials, etc. The professional skills of doctors and nurses should be continuously improved. In order to avoid and reduce medical disputes, psychological counseling of patients before and after operation, correct guidance of postoperative recovery and proper design of plastic materials can be avoided and reduced.
【作者单位】：山东省淄博市中心医院烧伤整形外科;山东省淄博市中心医院产科;
【分类号】：R62

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