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[中央微小切口与三处微小切口双眼皮成形术的前瞻性对比研究]

[Prospective and comparative study of the double eyelid blepharoplasty with central minimal incision and with three minimal incisions].

作者信息

Li Ming, Xie Yide, Zhou Yakuan, Zhan Mingkun, Wang Limin, Chern Yanru, Guo Yongnian

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2014 Nov;30(6):409-13.

PMID:25895291
Abstract

OBJECTIVE

To compare the clinical effect of the double eyelid blepharoplasty with central minimal incision and with three minimal incisions. Methods: From Jul. 2010 to May 2012, 268 cases (Group A) received double eyelid blepharoplasty with central minimal incision, while 102 cases (Group B) underwent double eyelid blepharoplasty with three minimal incisions. Photos were taken immediately, and 1,2, 4, 8,12 weeks after operation. Operation time, recovery time and postoperative complications were evaluated and recorded. The operation time and recovery time were analyzed by Wilcoxon rank sum test. The postoperative complications were analyzed by chi square test. The satisfactory degree was analyzed by t test.

RESULTS

The operation time in Group A was (25.63 ± 3.74) min, compared with that (29.90 ± 4.13) min in Group B (Z = -8.011, P <0.01). Meanwhile, the recovery time in Group A was shorter than that in Group B (Z = -15.887, P <0.01). The occurrence rate of postoperative complications,including hematoma,recurrence and scar hyperplasia in Group A was also lower than that in Group B. At the same time, the satisfactory degree in Group A was(97.302 ± 1.764), which was higher than that(88.628 10.880) in Group B (t = 12.650, P <0.05).

CONCLUSIONS

The double eyelid blepharoplasty with central minimal incision, which is suitable for all cases except those who has serious blepharochalsais, has more advantages than double eyelid blepharoplasty with three minimal incisions.

摘要

目的

比较中央小切口双眼皮成形术与三小切口双眼皮成形术的临床效果。方法:2010年7月至2012年5月,268例(A组)接受中央小切口双眼皮成形术,102例(B组)接受三小切口双眼皮成形术。术后即刻及术后1、2、4、8、12周拍照。评估并记录手术时间、恢复时间及术后并发症。手术时间和恢复时间采用Wilcoxon秩和检验进行分析。术后并发症采用卡方检验进行分析。满意度采用t检验进行分析。

结果

A组手术时间为(25.63±3.74)分钟,B组为(29.90±4.13)分钟(Z=-8.011,P<0.01)。同时,A组恢复时间短于B组(Z=-15.887,P<0.01)。A组术后并发症(包括血肿、复发和瘢痕增生)发生率也低于B组。同时,A组满意度为(97.302±1.764),高于B组的(88.628±10.880)(t=12.650,P<0.05)。

结论

中央小切口双眼皮成形术除不适用于重度上睑下垂患者外适用于所有情况,比三小切口双眼皮成形术具有更多优势。

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