心形切口与“Mercedes-Benz切口”在脐成形术中的临床效果对比  

A comparative study of clinical outcomes between heart-shaped incision and"Mercedes-Benz incision"designs in umbilicoplasty

作　　者：吴赛男 金骥 李发成 Wu Sainan;Jin Ji;Li Facheng(Body Contouring&Fat Grafting Center,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院脂肪整形科,北京100144

出　　处：《中华整形外科杂志》2024年第6期621-625,共5页Chinese Journal of Plastic Surgery

摘　　要：目的对比心形切口与"Mercedes-Benz切口"(三瓣法)2种设计方案在脐成形术中的临床效果。方法回顾性分析2019年11月至2022年9月中国医学科学院整形外科医院脂肪整形科收治的于腹壁成形术中行脐成形患者的临床资料。分为心形切口组和"Mercedes-Benz切口"组,术中分别应用心形切口或"Mercedes-Benz切口"行脐成形术。术后观察脐部有无感染、血肿等并发症;采用李克特5分量表对术后6个月的新脐美学效果进行评分(总分3~15分,分值越高表示美学效果越好);采用温哥华瘢痕量表(VSS)对术后6个月的瘢痕情况进行评分(0~18分,分数越高表示瘢痕情况越严重)。术后对患者进行脐形态满意度调查,分为不满意、比较满意、非常满意3个等级。正态分布计量资料以x±s表示,2组间比较采用独立样本t检验。P<0.05认为差异有统计学意义。结果共纳入35例患者,均为女性,其中19例应用心形切口、16例应用"Mercedes-Benz切口"行脐成形术,2组年龄分别为(32.3±2.7)岁、(33.7±2.3)岁。术后6个月随访时,心形切口组的脐美学效果总分高于"Mercedes-Benz切口"组[(13.3±0.7)分vs.(12.7±0.5)分,P<0.05],VSS评分低于"Mercedes-Benz切口"组[(2.6±0.8)分vs.(3.4±0.9)分,P<0.05]。脐成形术后满意度调查结果显示,心形切口组比较满意3例、非常满意16例,"Mercedes-Benz切口"组比较满意2例,非常满意14例。结论与经典"Mercedes-Benz切口"设计相比,心形切口设计方案能在脐成形术后获得形态更佳、更自然的新脐,以及更隐形的瘢痕。Objective To compare the clinical effects of the two design schemes of heart-shaped incision and"Mercedes-Benz incision"(three-leaf method)in umbilicoplasty.Methods A retrospective analysis was performed for the clinical data of patients who underwent umbilicoplasty during abdominoplasty admitted to the Body Contouring&Fat Grafting Center,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,from November 2019 to September 2022.During the umbilicalplasty operation,different patients were treated with either a heart-shaped incision or a"Mercedes-Benz incision"three-flap method.The umbilical cord for infection,hematoma and other complications were observed after surgery;a 5-point Likert scale was used to evaluate the aesthetic effect of the new umbilicus 6 months after surgery(3-15 points,the higher the score,the better the aesthetic effect);the Vancouver scar scale(VSS)was used to score the scar condition 6 months after surgery(0-18 points,the higher the score,the better the scar condition).Postoperatively,patients were surveyed on umbilical shape satisfaction,which was divided into three levels:dissatisfied,relatively satisfied,and very satisfied.Normally distributed measurement data were expressed as Mean±SD,and independent samples t-test was used for comparison between two groups.P<0.05 was considered as a statistically significant difference.Results A total of 35 patients were enrolled,all of whom were female.Among them,19 cases underwent heart-shaped incision,and 16 cases underwent umbilicoplasty using"Mercedes-Benz incision".The ages of the two groups were(32.3±2.7)years old and(33.7±2.3)years old respectively.At the 6-month follow-up after surgery,the total aesthetic effect score of the umbilical cord in the heart-shaped incision group was higher than that in the"Mercedes-Benz incision"group[(13.3±0.7)points vs.(12.7±0.5)points,P<0.05].The VSS score of the heart-shaped incision group was lower than that of the"Mercedes-Benz incision"group[(2.6±0.8)points vs.(3.4±0.9)points,P<0.05].The results

关 键 词：脐 脐成形术 脐重建 腹壁成形术 美学效果 瘢痕 

分 类 号：R62[医药卫生—整形外科]