整形美容手术效果影响因素分析及预防措施

Analysis of Factors Affecting Surgical Cosmetic Surgery and Preventive Measures

目的研究影响整形美容手术效果的因素,制定相关预防措施。方法选择本院烧伤整形外科80例进行整形美容手术患者进行分析,并根据患者的具体情况行隆鼻术、隆胸术、重睑成形术、唇裂修复等整形手术,手术后患者填写满意度调查表,结合所有资料进行分析。结果 80例进行整形美容手术的患者中,28例对手术效果不满意,不满意率为35%。这其中,对手术期望过高者16例,占57.1%,隆鼻患者为4例,除皱患者2例,酒窝再造1例,眼袋整形2例,脂肪抽取2例,睑袋松弛整复1例例,,隆隆乳乳患患者者4例;手术设计存在一定偏差或手术适应症掌握不当者5例,占17.9%,重睑成形患者为3例,隆鼻患者2例,行二次手术后效果理想;术后护理不当导致感染等4例,隆鼻2例,隆乳2例占14.3%,;术后假体材料不合格者3例,占10.%,隆鼻2例,隆乳1例,以上患者均经治疗后痊愈。结论影响整形美容手术效果的因素主要为手术期望过高、手术设计偏差、护理欠缺和整形材料不合适等客观原因,应不断提高医师及护师的专业技能,做好术前术后患者的心理辅导,正确引导术后恢复,严格设计整形材料合适度,才能避免和减少医疗纠纷。

Objective To study the factors affecting the cosmetic surgery, and formulate relevant preventive measures. Methods Selection of burns and plastic surgery of our hospital 80 cases of patients with plastic surgery were analyzed, and the specific conditions of the patients underwent rhinoplasty, breast augmentation, blepharoplasty, cleft lip repair surgery, postoperative patients fill in the questionnaire. All the data were analyzed with.Results Among the 80 patients, 28 were not satisfied with the operation effect, and the rate was 35%. This one, the operation expected in 16 cases, high rhinoplasty patients accounted for 57.1%, 4 cases, 2 cases of patients with wrinkle, dimple reconstruction in 1 cases, 2 cases of blepharoplasty, 2 cases of fat extraction, 1 cases of eyelid bag relaxation repair, 4 cases of breast augmentation surgery patients; there must adapt to the design or operation of master when deviation in 5 cases, accounting for 17.9%, double eyelid for 3 cases of patients, 2 patients underwent rhinoplasty, two surgery effect ideal; postoperative nursing improper infection in 4 cases, 2 cases of breast augmentation rhinoplasty, 2 cases accounted for 14.3%; prosthesis material unqualified after operation in 3 cases, accounting for 10%, long the nose in 2 cases, 1 cases of breast augmentation, were cured after treatment.Corlciusion Factors influencing the effect of cosmetic surgery is the main operation expectation, operation design, lack of care and deviation of plastic materials not suitable for objective reasons, doctors and nurses should constantly improve their professional skills, good psychological counseling of patients before and after surgery, postoperative recovery of the correct guidance, strict design of plastic material is suitable, in order to avoid and reduce medical disputes.