美容就医者体像障碍评分与术后满意度的相关性分析

Correlation between body dysmorphic disorder scores and patients＇ satisfaction after cosmetic surgery

目的 探讨美容就医者伴有体像障碍倾向时对美容整形术后满意度的影响。方法 对81例美容就医者进行术前体像障碍量表评测和体貌缺陷程度评测，并于术后2～3个月进行随访，依据医者评价手术效果和受术者对美容手术的满意度，分析评价术前体像障碍评分对于美容就医者术后满意度的影响。结果 影响美容就医者术后满意度的因素有术前体像障碍评分和医者对手术效果的评价，其中手术效果评分是正相关，标准化回归系数J9—0．566，术前体像障碍评分是负相关，标准化回归系数β=0.424。并建立回归方程：美容就医者满意度=1．130×手术效果评分-0．0583×体像障碍评分-0．741。未发现术前缺陷的严重程度对术后满意度有明显影响。结论 美容就医者中，术前体像障碍评分与就医者术后满意度存在负相关。提示伴有体像障碍倾向的美容就医者术后出现对手术效果不满意的可能性较大，术前体像障碍评分有助于预测可能出现的医疗纠纷。

Objectives To study the effect of morbidity of body dysmorphic disorder （BDD） on the patients＇satisfaction after cosmetic surgery. Methods Body dysmorphic disorder score （BDDS） and appearance defect score （ADS） were evaluated in 81 cosmetic surgery patients with the self-rating scale of body dysmorphic disorder and scale of appearance defect. Operative effect score （OES） and patients＇ sat- isfaction score （PSS） were obtained during 2～3 months follow-up. The influence factors were evulated on the postoperative PSS, especially whether preoperative BDDS could influence the PSS. Results Postoperative PSS was in correlation with the preoperative BDDS and the postoperative OES in cosmetic surgery patients. Preoperative BDDS was a negative influence factor （β= --0. 424）, while postoperative OES was a positive one （β=0. 566）. The linear regression equation was PSS = 1. 130× OES--0. 0583× BDDS- 0. 7410. Preoperative ADS had no significant influence on PSS. Conclusions Preoperative BDDS is a negative factor correlated to postoperative PSS in cosmetic surgery patients. So there is a great probability of dissatisfaction to surgical results for patients with high tendency of BDD. Self-rating scale of body dysmorphic disorder can be used to predict potential postoperative dispute.