眼睑整形术改善躯体变形障碍的临床研究  

Clinical Study on Blepharoplasty in Improving Body Dysmorphic Disorder

作　　者：王亚雯 杨华[2] 陈刚 马志兵 王金明 王月 陈玲玲 贾俊晗 黄金龙 WANG Ya-wen;YANG Hua;CHEN Gang;MA Zhi-bing;WANG Jin-ming;WANG Yue;CHEN Ling-ling;JIA Jun-han;HUANG Jin-long(Department of Plastic Surgery,the Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210016,Jiangsu,China;Department of Medical Psychology,the Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,Jiangsu,China;First Clinical Medical School of Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China)

机构地区：[1]南京中医药大学附属医院整形外科,江苏南京210016 [2]南京医科大学附属脑科医院医学心理科,江苏南京210029 [3]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《中国美容医学》2021年第10期161-163,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨眼睑整形术对躯体变形障碍(Body dysmorphic disorder,BDD)的影响。方法:选取2019年10月-2020年4月于南京中医药大学附属医院整形外科行眼睑整形术的98例患者,于术前及术后6个月采用躯体变形障碍耶鲁-布朗强迫症状量表(Yale-Brown obsessive-compulsive scale modified for body dysmorphic disorder,BDD-YBOCS)评估其躯体变形障碍症状,并同时于术后6个月调查这98例患者的术后满意度,根据满意度分为满意组、一般组和不满意组。对全部及各组的术前、术后BDD-YBOCS得分进行统计分析。结果:所有98例患者术后BDD-YBOCS得分(9.46±7.18)分较术前得分(15.47±3.83)分显著下降,差异有统计学意义(t=-8.263,P<0.001)。术后BDD程度显著低于术前,差异有统计学意义(χ2=64.376,P<0.001)。满意组术后BDD改善率高于一般组,差异有统计学意义(χ2=20.435,P<0.001)。满意组有45.9%的患者不满意部位由手术部位转为其他部位,术后BDD-YBOCS得分较术前平均下降3.21分;一般组有42.9%的患者不满意部位由手术部位转为其他部位,术后BDD-YBOCS得分较术前平均下降0.78分。两组不满意部位从手术部位转为其他部位的发生率比较差异无统计学意义(χ2=0.063,P=0.802)。结论:眼睑整形术可以有效缓解患者躯体变形障碍症状,部分患者术后出现注意力转移,但其BDD症状也已得到改善。患者对手术的满意程度越高,其BDD症状的改善越明显。Objective To investigate the effect of eyelid plastic surgery on body deformation disorder(BDD).Methods Ninetyeight patients who underwent blepharoplasty in the Department of Plastic Surgery,the Affiliated Hospital of Nanjing University of Chinese Medicine from October 2019 to April 2020 were selected.The symptoms of Body Dysmorphic Disorder were assessed by Yale-Brown obsessive-compulsive scale modified for body dysmorphic disorder(BDD-YBOCS)preoperatively and 6 months after surgery.The postoperative satisfaction of these 98 patients was also investigated 6 months after surgery.They were divided into satisfactory group,indifferent group and dissatisfactory group according to the satisfaction.Statistical analysis was performed on the BDD-YBOCS scores preoperatively and postoperatively of all patients and each group.Results In all 98 patients,the postoperative score of BDD-YBOCS(9.46±7.18)was significantly lower than the preoperative score(15.47±3.83),the difference was statistically significant(t=-8.263,P<0.001).The degree of BDD after operation was significantly lower than that before operation(χ2=64.376,P<0.001).The improvement rate of BDD in the satisfactory group was higher than that in the general group(χ2=20.435,P<0.001).In the satisfactory group,45.9%of the patients were dissatisfied with the site from operation to other sites,and the postoperative BDD-YBOCS score decreased by an average of 3.21 points compared with that before operation.In the general group,42.9%of the patients were dissatisfied with the change from the surgical site to other sites,and the postoperative BDD-YBOCS score decreased by an average of 0.78 points compared with that before operation.There was no significant difference between the two groups in the incidence of unsatisfied parts from operation to other parts(χ2=0.063,P=0.802).Conclusion Blepharoplasty can effectively alleviate the symptoms of somatic dysmorphia.Some patients have attention diversion,but their BDD symptoms have also been improved.The higher the patients'satis

关 键 词：躯体变形障碍 眼睑整形术 美容手术 满意度 

分 类 号：R622[医药卫生—整形外科]