Z-成形术与倒L-成形术矫正内眦赘皮同期行重睑术的效果比较

Comparison of clinical curative effect in correcting epicanthus:using Z-plasty and inverted L-plasty,simultaneously using double eyelidplasty

目的:比较Z-成形术(Stallard法)与倒L-成形术矫正内眦赘皮的临床效果。方法:收集2014年6月-2015年5月期间在米兰柏羽医学美容医院行内眦赘皮矫正联合切开重睑术的求美者303例,根据矫正内眦赘皮手术方式以及内眦赘皮的严重程度不同,分为轻度组(A1、B1)、中度组(A2、B2)和重度组(A3、B3),A组采用Stallard法"Z"成形术矫正内眦赘皮,B组采用倒L-成形术矫正内眦赘皮。评价标准:从求美者满意度和美学标准角度观察A、B组求美者术后效果,并行统计学卡方检验。结果:术后3个月,求美者重睑线与内眦部衔接自然,重睑弧度圆润。A1与B1组满意率和接近标准率无统计学差异(P>0.05)。A2与B2组满意率和接近标准率存在统计学差异(P<0.05),B2组的满意率和接近标准率均高于A2组。A3与B3组满意率和接近标准率无统计学差异(P>0.05)。结论:内眦赘皮矫正术式很多,对于内眦赘皮的矫正应根据内眦赘皮的分型与分度来选择合适的术式。内眦赘皮矫正同期行切开重睑术,可使内眦部瘢痕更加隐蔽、重睑线更加流畅。

Objective To compare the clinical effect of using Z-plasty and inverted L-plasty in correcting epicanthus.Methods Collected 303 patients who accepted the surgical treatment of epicanthus plasty and double eyelid surgery from June 2014 to May 2015 in Bravou aesthetic plastic hospital.According to different ways of correcting epicanthus surgery and the severity of epicanthus,303 patients were divided into mild group（A1,B1）,moderate group（A2,B2）and severe group（A3,B3）.A group adopted Stallard Act Z plasty and B group adopted inverted L-plasty.The evaluation criteria：From an aesthetic view and patients＇ satisfaction,the postoperative effect of A and B groups were observed,and their satisfaction rates and approximate standard rates were compared by chi-square test.Results After postoperative 3 months,the double eyelids and epicanthus converged naturally,and the radian of the double eyelids were round.Mild Group：On the satisfaction rate and the approximate standard rate,A1 and B1 groups showed no significant difference on statistics（P0.05）.Moderate group：A2 and B2 groups showed significant difference on statistics（P0.05）.Severe group：A3 and B3 groups showed no significant difference on statistics（P0.05）.Conclusion There are many ways to treat epicanthus,so we should adopt a suitable way according to the type and severity of epicanthus.The way to adopt correcting epicanthus and double eyelid surgery simultaneously make canthus more nature,canthus scar more subtle,eyelid line more fluid.