Z形皮瓣成形术联合重睑术矫治内眦赘皮疗效观察

The Effect of Z-flap Plasty Combined with Blepharoplasty on Epicanthus

目的:探讨Z形皮瓣成形术联合重睑术对内眦赘皮的矫治效果及患者满意度。方法:选择2016年1月-2019年6月笔者医院收治的127例内眦赘皮患者进行研究,根据自愿原则,分为观察组67例和对照组60例,对照组使用Y-V皮瓣成形术联合重睑术,观察组使用Z形皮瓣成形术联合重睑术。比较两组手术疗效及患者满意度。结果:术后6个月,观察组和对照组手术优良率分别为92.54%和80.00%,组间比较差异有统计学意义(P<0.05)。两组轻度、中度内眦赘皮疗效优良率比较,差异无统计学意义(P>0.05);观察组重度内眦赘皮优良率明显高于对照组,差异有统计学意义(P<0.05)。观察组和对照组总满意度率分别为95.52%和81.67%,组间比较差异有统计学意义(P<0.05)。结论:Z形皮瓣成形术联合重睑术对内眦赘皮的矫正效果显著,尤其是对重度内眦赘皮的疗效更明显,且患者满意度高,值得应用推广。

Objective To study the effect and satisfaction of Z-flap plasty combined with blepharoplasty on epicanthus.Methods 127 patients of epicanthus who received therapy from January 2016 to June 2019 in our hospital were selected as research objects,according to the principle of voluntariness,the patients were divided into the observation group(67 cases)and the control group(60 cases).The control group was used Y-V flap combined with blepharoplasty,while in the observation group was used Z-flap plasty combined with blepharoplasty.The operative effect and satisfaction of the two groups were compared.Results At after the operation 6 months,the excellent and good rates in the observation group and the control group were 92.54%and 80.00%,the difference between the two groups was statistically significant(P<0.05).There was no significant difference between the two groups in the excellent and good rates of mild and moderate epicanthus(P>0.05).The excellent and good rate of severe epicanthus in the observation group was significantly higher than that of the control group(P<0.05).The total satisfaction rate of the observation group and the control group was 95.52%and 81.67%,respectively,the difference between the two groups was statistically significant(P<0.05).Conclusion The effect of Z-shaped flap combined with blepharoplasty on epicanthus correction is significant,especially for severe epicanthus,and the patients'satisfaction is high,it's worth popularizing.