鼻综合成形术改善不同程度体像异常的变化及效果  

Clinical improvement of comprehensive rhinoplasty on abnormal body images

作　　者：王亚雯 张骏[1] 黄金龙[1] Wong Yawen;Zhang Jun;Huang Jinlong(Department of Plastic Surgery of the Affiliated Hospital of Nangjing University of CM,Nanjing 210016,China)

机构地区：[1]南京中医药大学附属江苏省中医院整形外科,210016

出　　处：《中华医学美学美容杂志》2019年第2期92-95,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的研究不同程度体像异常患者在鼻综合成形手术前后的体像变化,评价该术式改善体像异常的效果。方法对2016年10月至2017年10月在江苏省中医院整形美容外科要求行鼻综合成形术的141例患者,采用体像障碍自评量表对体像异常患者进行筛查,选取其中86例之前未接受过任何整形外科手术的体像异常患者进行体像认知随访。该86例患者由同一医师施术。统计术前与术后6个月体像障碍自评量表分值,进行对比分析。结果86例行鼻综合成形术的体像异常患者中,体像困扰组体像障碍自评量表术前(19.92±5.59)分、术后(7.33±4.10)分,两者比较差异有统计学意义(P<0.05)。体像障碍组体像障碍自评量表术前(45.00±7.44)分、术后(18.86±5.52)分,两者比较差异有统计学意义(P<0.05)。体像异常患者术前体貌关注度和情绪受损度分值位居前列,术后体貌认知度未得到明显改善。结论鼻综合成形术能缓解患者的体像异常,能减少因自觉体貌缺陷产生的负面情绪,术后患者仍关注个人体貌。Objective To identify the influence of the comprehensive rhinoplasty on the body image of the persons with various degrees of abnormal body image receiving the rhinoplasty.Methods Eighty-six patients who have never undergone any kinds of plastic surgeries were tested with the self-rating body dysmorphic disorder scale before and 6 months after the comprehensive rhinoplasty by the same doctor in Chinese Medicine Hospital of Jiangsu Province during October 2016 to October 2017,and the results were analyzed.Results Among 86 paients who underwent the comprehensive rhinoplasty,the score of the preoperative scales of patients with body-image troubles was 19.92±5.59,and that of the postoperative scales was 7.33±4.10(P<0.05).The score of the preoperative scales of patients with body image disturbance was 45.00±7.44,and that of the postoperative scales was 18.86±5.52(P<0.05).Scores about the degree of the body image concerned and the degree of the emotion damnified were higher than those about other aspects preoperatively among patients with abnormal body image.The degree of body image cognitive had not been well improved.Conclusions The patients receiving the rhinoplasty pay much attention to their own body image,and their emotion is damnified severely.The comprehensive rhinoplasty can relief the symptoms of abnormal body image which mainly manifests in it can eliminates the negative emotion and social relationship of the patients with self-conscious physical appearance defect.Otherwise,these patients are still keep a watchful eye on their physical appearance.

关 键 词：鼻综合成形术 体像异常 体像困扰 体像障碍 

分 类 号：R622[医药卫生—整形外科]