压力疗法在内眦赘皮矫正术后瘢痕增生挛缩防治中的疗效观察

发布时间：2019-01-23 14:01

【摘要】：目的观察压力疗法在内眦赘皮矫正术后瘢痕增生挛缩防治中的疗效。方法筛选2010年3月至2013年3月期间我科内眦赘皮女性患者240例,年龄(28.4±1.2)岁,均行"Z"字成形内眦赘皮矫正术。其中120例为防治组,年龄(26.2±0.8)岁,术后1月开始采用压力疗法,嘱患者用手指将内眦处隆起包块压向内侧鼻骨处,按摩压力大小为10~15 mmHg。防治组中再分为每天1次组40例,3次组40例,6次组40例;另外120例为对照组,年龄(29.1±0.6)岁,无任何防治。观察、对比2组瘢痕增生挛缩率。结果经过术后1年的随访,防治组采用压力疗法后术区瘢痕变平,无痛痒症状,触之柔软,瘢痕无充血,内眦角度保持术毕效果,瘢痕增生挛缩率9.2%;对照组瘢痕增生挛缩率37.5%,统计学分析差别具有非常显著性(P0.01);防治组中每天3次组效果最好(P0.05)。结论每天3次压力疗法在内眦赘皮矫正术后瘢痕增生挛缩防治中的疗效显著。
[Abstract]:Objective to observe the effect of pressure therapy in the prevention and treatment of scar hyperplasia and contracture after epicanthus correction. Methods from March 2010 to March 2013, 240 female patients with epicanthus (28.4 卤1.2) years old were selected. 120 cases, aged (26.2 卤0.8) years, were treated with stress therapy at one month after operation. The patients were told to press the bulge of medial canthus into the medial nasal bone with their fingers. The pressure of massage was 1015 mmHg.. In the prevention and treatment group, 40 cases were subdivided into 3 groups (40 cases) once a day, 40 cases (3 times), 40 cases (6 times), and 120 cases (29.1 卤0.6) years old as control group, without any prevention and treatment. The rate of scar hyperplastic contracture was compared between the two groups. Results after 1 year follow-up, the treatment group was treated with pressure therapy with no pain and itch symptoms, soft touch, no hyperemia, the angle of inner canthus maintained the effect after operation, and the rate of scar hyperplastic contracture was 9.2%. In the control group, the rate of scar hyperplasia contracture was 37.5%, the difference was very significant (P0.01); in the control group, the effect was the best three times a day (P0.05). Conclusion three times a day pressure therapy is effective in the prevention and treatment of scar hyperplasia and contracture after epicanthus orthopedic surgery.
【作者单位】：第三军医大学西南医院整形美容外科;
【基金】：重庆市自然科学基金(CSTC2011jjA0729)~~
【分类号】：R622;R779.6

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