摘要
目的探讨一种减轻术后颞部秃发、切口瘢痕增生的面部除皱方法。方法在进行面部除皱术时,将病例随机分为两组,A组46例采用颞部三点减张悬吊法,即:减张悬吊的每针的两点分别位于颞部发际线皮下层和切口下筋膜层,三针形成一个力学平面,使减张悬吊牢固持久。B组36例,颞部不行三点减张悬吊。术后观察颞部秃发、切口瘢痕情况。结果行面部除皱术82例,A组病例秃发及切口瘢痕均较B组减轻,两组间比较差异有统计学意义(P<0.05)。结论颞部三点减张悬吊法能减轻除皱术后秃发及切口瘢痕增生,同时增强眉、眼,外眦等部位的提拉效果。
Objective To evaluate a facial rhytidectomy technique to reduce the complications of temporal alopecia and incisional scar hyperplasia. Methods The 82 aged patients were divided into 2 groups in random way： group A in 46 with the use of the three-point relief-tension suspension technique and group B in 36 as control. In group A, the two point of every relief-tension suture was located respectively in the subcutis of the hairline and fascia under the incision. The parallel three sutures formed a mechanical plane to make the relief suture more strong and permanent. The temporal alopecia and incisional scar was observed with the follow-ups after the operation. Results With the 82 cases of facial rhytidoplasty, the complications of the temporal alopecia and incisional scars in group A were much less than in group B. Conclusions This technique could decrease the complications such as temporal alopecia and incisional scars, and get a good and long term effect of temporal lifting simultaneously.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2006年第2期136-138,共3页
Chinese Journal of Plastic Surgery
关键词
面部除皱术
颞部
减张
Facial rhytidoplasty
Temple
Relief tension
