反Stallard法联合重睑成形术矫治单睑伴内眦赘皮

Clinical Study on anti-Stallard Method Combined with Double Eyelid Plasty in Treatment of Single Eyelid with Epicanthus

目的:总结分析反Stallard法联合重睑成形术治疗单睑伴内眦赘皮的临床效果。方法:选取2015年4月-2016年4月来笔者所在科室就诊的单睑伴内眦赘皮者120例为研究对象,根据术式不同分为观察组和对照组。观察组60例采用反Stallard法联合重睑成形术,对照组60例采用倒L成形法联合重睑成形术。记录分析两组术后的美容满意度及并发症等情况。结果:观察组术后在接近审美标准中,内眦赘皮轻度、中度及重度者接近标准率均明显优于对照组,尤其两组内眦赘皮轻度者对比差异有统计学意义(χ~2=5.7220,P=0.0168)。术后3个月回访统计,观察组内眦赘皮各程度组满意率均明显优于对照组,两组内眦赘皮轻度者对比差异有统计学意义(χ~2=6.0841,P=0.0136)。并发症发生率观察组(8.33%)低于对照组(25.00%),差异有统计学意义(χ~2=6.0000,P=0.0143)。结论:采用反Stallard法联合重睑成形术矫治不同程度的单睑伴内眦赘皮,术后接近审美标准和满意度高,并发症发生率低。

Objective To analyze the clinical effects of anti-Stallard method combined with double eyelid plasty in the treatment of single eyelid with epicanthus. Methods From April 2015 to April 2016, according to the different surgical methods of 120 patients with single eyelid EC were divided into the control group of 60 cases, the use of anti-Stallard method combined with double eyelid plasty, the control group of 60 cases taken inverted L-forming combined with double eyelid plasty. Two groups of patients were recorded near the aesthetic standards, satisfaction and complications. Results In the observation group, the mild, moderate and severe approaching standard rates were 86.4%, 53.8% and 80.0%, respectively, which were significantly better than those in the control group, especially in the mild contrast χ2 = 5.7220, P = 0.0168）.In the observation group, the mild,moderate and severe satisfaction rates were 89.2%, 69.3% and 80.0%, respectively, which were significantly better than those in the control group, especially in the mild contrast （χ2 = 6.0841,P = 0.0136）. After treatment, the total complication rate was 8.33%in the MIT group, which was lower than that in the control group （25.00%）, and the difference was significant （χ2= 6.0000, P=0.0143）. Conclusion The use of minimally invasive extraction of patients with complex dental treatment,surgery is better,the rate of postoperative complications is low, recognition is high,the effect is outstanding.