提拉带用于额颞部松弛患者微创额颞部除皱术中的疗效观察  

Observation on the Effect of Lifting Band in the Minimally Invasive Frontotemporal Rhytidectomy for Patients with Frontotemporal Relaxation

作　　者：师军涛[1] 徐淑江 王君 SHI Jun-tao;XU Shu-jiang;WANG Jun(Department of Plastic Surgery,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第二附属医院整形外科

出　　处：《中国美容医学》2020年第1期110-113,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨提拉带在额颞部松弛患者微创额颞部除皱术中的应用价值。方法:选取笔者医院2016年3月-2018年3月收治的额颞部松弛患者90例,根据随机数字表法分成观察组(n=45)、对照组(n=45),两组均行微创额颞部除皱术。对照组不使用提拉带,观察组使用提拉带。于术后3个月评估疗效,比较两组手术效果;分别在术后3、6、12个月计算两组提眉距离,并评估两组术后美观满意度,记录并发症情况。结果:观察组总优良率为95.56%显著高于对照组的82.22%,差异有统计学意义(P<0.05)。两组术后12个月左、右侧提眉距离低于术后3个月,但观察组术后12个月左、右侧提眉距离显著高于对照组,差异均有统计学意义(P<0.05)。观察组额纹、眉间纹、颞部纹、眉上纹满意度评分及总分均显著高于对照组,差异有统计学意义(P<0.05)。两组血肿、瘢痕增生、眶上神经损伤、眉弓不对称发生率比较差异无统计学意义(P>0.05)。结论:在微创额颞部除皱术中使用提拉带,能进一步提高手术疗效,控制远期提眉距离下降幅度,总体满意度较好。Objective To explore the application value of lifting band in minimally invasive frontotemporal rhytidectomy for patients with frontotemporal relaxation.Methods Ninety patients with frontotemporal relaxation admitted to our hospital from March 2016 to March 2018 were divided into the observation group (n=45) and the control group (n=45) according to random number table method.Minimally invasive frontotemporal rhytidectomy was performed in both groups.The control group did not use the lifting belt,while the observation group used the lifting belt.The curative effect was evaluated 3 months after operation,and the operative effect was compared between the two groups.The eyebrow lifting distance was calculated at 3,6 and 12 months after operation,and the satisfaction of the two groups to the aesthetic appearance was evaluated,and the complications were recorded.Results The total excellent and good rate of the observation group was 95.56%,which was significantly higher than that of the control group (82.22%),the difference was statistically significant(P<0.05).The left and right eyebrow lifting distance in the observation group was significantly higher than that in the control group(P<0.05).The satisfaction scores and total scores of frontal lines,interbrow lines,temporal lines and eyebrow lines in the observation group were significantly higher than those in the control group (P<0.05).There was no significant difference in the incidence of hematoma,scar hyperplasia,supraorbital nerve injury and eyebrow arch asymmetry between the two groups (P>0.05).Conclusion The use of lifting band in minimally invasive frontotemporal rhytidectomy can further improve the surgical effect,control the long-term drop in eyebrow lifting distance,and the overall satisfaction is good.

关 键 词：额颞部松弛 微创额颞部除皱术 提拉带 额部皱纹 满意度 并发症 

分 类 号：R622[医药卫生—整形外科]