术前三维模拟对鼻综合手术效果评价的影响  

Effact of three-dimentional simulation on rhinoplasty outcomes evaluation

作　　者：常劲远 王先成[1] 孙扬 熊祥[1] 孟宪熙 曾芳琳 杨远明 梁瑛 胡一鸣 江从航 李晓芳[1] 方柏荣[1] Chang Jinyuan;Wang Xiancheng;Sun Yang;Xiong Xiang;Meng Xianxi;Zeng Fanglin;Yang Yuanming;Liang Ying;Hu Yiming;Jiang Conghang;Li Xiaofang;Fang Borong(Department of Burn and Plastic Surgery,Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院烧伤整形外科,长沙410011

出　　处：《中华整形外科杂志》2021年第11期1256-1259,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨术前三维模拟对鼻综合手术效果评价的影响。方法选择2017年12月至2019年3月在中南大学湘雅二医院整形美容外科行鼻综合手术的患者为研究对象,采用随机数字表法,将患者分成2组,试验组在鼻综合手术前进行三维模拟,对照组未行三维模拟。2组患者于术前和术后1个月均采用视觉模拟评分表(VAS)和鼻整形手术效果评估问卷(ROE),评估患者的满意度,分析术前三维模拟对手术效果评价的影响。结果该研究初始共纳入97例,发放问卷97份,有效回收60例患者答卷,每组各30例。术后试验组VAS评分改善均值为(4.10±0.88)分,对照组为(2.53±0.73)分,差异有统计学意义(P<0.05)。2组ROE问卷评估,试验组术前满意度为(29.5±9.7)分,术后增加到(77.3±13.7)分;对照组术前满意度为(30.4±11.3)分,术后增加到(62.7±23.4)分,差异有统计学意义(P<0.05)。结论鼻综合手术前行三维模拟,可提高患者的术后满意度。VAS和鼻整形手术ROE是评估鼻综合整形手术效果的良好工具。Objective To evaluate the effect of preoperative 3D simulation on the evaluation of rhinoplasty.Methods From December 2017 to March 2019,patients in the Department of Burn and Plastic Surgery of the Second Xiangya Hospital of Central South University were randomly selected as the research subjects.According to whether they had received 3D simulation before surgery,they were divided into the experimental group(after 3D simulation before comprehensive surgery)and the control group(without 3D simulation before comprehensive surgery).Visual analogue scale(VAS)and Rhinoplasty Outcomes Evaluation(ROE)questionnaires were used to evaluate the satisfaction of all patients preoperatively and one month after surgery.Results At the beginning of this study,a total of 97 cases were included.97 cases were given questionnaires,and 60 cases were effectively recovered.There were 30 cases in each group.There was statistical significance in the improvement of the postoperative VAS scores between the experimental group and the control group(P<0.05).The mean improvement in the experimental group was(4.10±0.88)points,while the mean improvement in the control group was(2.53±0.73)points.There was statistical significance in the improvement of the postoperative ROE satisfaction scores between the two groups.The average preoperative satisfaction score of the experimental group was(29.5±9.7)points,which increased to(77.3±13.7)points after surgery.In the control group,the average satisfaction score was(30.4±11.3)points before surgery and increased to(62.7±23.4)points after surgery.Conclusions 3D simulation before nasal synthesis can improve the postoperative satisfaction of patients.VAS and ROE questionnaires are good tools for evaluating the effect of comprehensive rhinoplastic surgery.

关 键 词：鼻成形术 三维模拟 患者满意度 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]