两种重睑成形术的临床分析比较

发布时间：2018-08-03 19:10

【摘要】： 目的：通过与常规切开法重睑成形术的分析比较,研究睑缘切口重睑成形术的临床应用价值。方法：随机选取门诊重睑成形术患者60例,年龄在18-35岁之间,均对病人讲明两种术式的特点,病人自愿采取术式,其中行睑缘切口重睑成形术患者30例,行常规切口重睑成形术患者30例,进行对照,术后随访6-17个月,对两组术后满意率进行比较,并行统计学分析。结果：两组手术均顺利完成,两组间总满意率比较：常规切口组为93.3%,睑缘切口组为96.7%,经校正x2检验,x2c=0.000,P=1.0000.05,两组间比较差别无统计学意义。两组间非常满意率比较：常规切口组为66.7%,睑缘切口组为73.3%,经x2检验,x2c=0.317,P=0.5730.05,两组间比较差别无统计学意义。结论：常规切开法重睑成形术是目前临床上最常用的重睑术式之一,该术式术后临床效果稳定、可靠,患者满意度高。本临床研究通过分析比较睑缘切口重睑成形术和常规切开法重睑成形术组患者术后的总满意率,二者在统计学上差别无统计学意义,表明睑缘切口重睑成形术同样为一种可供临床选择的稳定、可靠的重睑术式。通过分析比较两组患者术后非常满意率,二者在统计学上差别亦无统计学意义,但直接分析比较两组的非常满意率,常规切口组为66.7%,睑缘切口组为73.3%,有睑缘切口组的非常满意率高于常规切口组的趋势,而基于本临床研究基数小,不能使差别显著；睑缘切口重睑成形术术后切痕隐蔽,兼有切开法和埋线法两者的优点,同时又避免了两种手术方法中的不足,形成的重睑牢固、可靠、持久,无明显的术后痕迹,为患者所满意,使重睑手术向更趋完美的方向迈进了一大步。鉴于睑缘切口重睑成形术亦为重睑手术可选的安全、可靠方法,适应症范围广,可为临床广泛应用,在合适条件下,可优先为患者提供睑缘切口重睑成形术。
[Abstract]:Objective: to study the clinical application value of double eyelid plasty by eyelid margin incision. Methods: sixty patients with double blepharoplasty, aged between 18 and 35 years, were selected randomly. The characteristics of the two methods were explained to the patients, and 30 patients underwent double blepharoplasty with eyelid margin incision. Thirty patients with double blepharoplasty with conventional incision were followed up for 6 to 17 months. The satisfaction rates of the two groups were compared and statistically analyzed. Results: the total satisfactory rate of the two groups was 93.3 in the conventional incision group and 96.7in the palpebral margin incision group. The satisfactory rate of the two groups was 66.7 in the conventional incision group and 73.3 in the eyelid margin incision group. There was no significant difference between the two groups by x2 test. Conclusion: conventional incision double eyelid plasty is one of the most commonly used double eyelid operation at present. The clinical effect of this operation is stable, reliable, and the patient satisfaction is high. This clinical study analyzed and compared the total satisfaction rate of the patients with double eyelid blepharoplasty through eyelid margin incision and conventional incision blepharoplasty. There was no statistically significant difference between the two groups. The results indicate that double eyelid plasty with eyelid margin incision is also a stable and reliable double eyelid operation for clinical use. By analyzing and comparing the two groups of patients' satisfaction rate, there was no statistical difference between the two groups, but direct analysis and comparison of the two groups of very satisfactory rate, The satisfaction rate of the eyelid margin incision group was higher than that of the conventional incision group, but the clinical study base was small and the difference could not be significant, the incision mark of the eyelid margin incision was hidden after the double eyelid incision operation, the rate of satisfaction in the eyelid margin incision group was higher than that in the conventional incision group, but the difference could not be significant because of the small base of this clinical study. It has the advantages of both incision and thread embedding, and avoids the shortcomings of the two surgical methods. The double eyelids are firm, reliable, durable and have no obvious postoperative trace, which is satisfactory to the patients. So that double eyelid surgery to improve the direction of a big step forward. In view of the double blepharoplasty of eyelid margin incision is also a safe and reliable method for double eyelid surgery, it has a wide range of indications and can be widely used in clinical practice. Under suitable conditions, double eyelid plasty with eyelid edge incision can be given priority to patients with blepharoplasty.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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