反Z法与横切纵缝法内眦赘皮矫正术后瘢痕的比较分析

发布时间：2018-09-11 06:19

【摘要】：目的：通过术后瘢痕美观度这一参照物，来评价反Z法与横切纵缝法两种术式在矫正同等程度内眦赘皮的优劣性。方法：选取2012年2月至2013年7月期间于我院行内眦赘皮矫正术的患者202例（404只眼），按内眦赘皮严重程度分为A组（轻度）、B组（中度）和C组（重度）。A组患者中经随机选择采用反Z法的为a1组，采用横切纵缝法的为a2组。同理，B组分为b1和b2组；C组分为c1和c2组。术后3个月采用患者和观察者瘢痕评价量表（POSAS）对内眦部瘢痕进行评价；同时拍摄数码相片并由研究外人员进行独立评价。结果：共有198例（396只眼）患者完成了随访。 A、B和C组中含的各小组间患者的一般临床特征差异均无统计学意义（P0.05）。术后3个月的对比结果为：A组患者的瘢痕总体满意度评分分别为a1（2.10±0.20）分和a2（2.20±0.32）分，2组间比较差异无统计学意义（P=0.241）；b1组（2.44±0.47）的瘢痕总体满意度评分优于b2组（4.55±0.55），2组间比较差异有统计学意义（P=0.010）；c1组（4.70±0.71）患者的瘢痕总体满意度优于c2组（6.00±0.53），，2组间比较差异有统计学意义（P=0.041）。其他的瘢痕评价量表（包括PSAS评分和OSAS评分）与研究外人员对瘢痕数码相片的评价差异结果也支持以上论断。结论：从本试验有限的病例来看，对于轻度的内眦赘皮，患者对两种术式术后瘢痕的满意度无差异；但是对于中、重度的内眦赘皮，患者对反Z法的术后瘢痕满意度高于横切纵缝法。
[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 卤0. 20) and (2. 20 卤0. 32), respectively. The overall satisfaction degree of scar in group B1 (2.44 卤0.47) was better than that in group B2 (4.55 卤0.55). There was significant difference between group B 2 (P < 0.010) and group C 1 (4.70 卤0.71). The overall satisfaction of scar in group B1 was better than that in group c 2 (6.00 卤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.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R779.6

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