【摘要】 目的:探讨鼻整形术对受术者体像的影响,研究体像障碍检出者鼻整形手术前后的体像变化。方法:采用体像障碍自评量表,对108名受术者于鼻整形手术前后进行问卷调查,分析结果。结果:受术者鼻整形手术前体貌关注度、情绪受损度和社会交往度三组指标的平均分值位于前列。体像障碍在鼻整形术受术者中的检出率为16.7%。全部受术者手术前的量表评分为19.23±11.69,手术后下降为15.89±10.26(P<0.01);体像障碍检出者的术前量表评分为45.36±5.27,手术后下降为31.08±9.14(P<0.05),术后评分降低的指标集中反映在躯体缺陷感、情绪受损度和社会交往度三个方面。结论:鼻整形术受术者手术前对自身体像极为关注,情绪受损严重,鼻整形术能够明显改善受术者的体像状态。体像障碍在鼻整形术受术者中的检出率较高,鼻整形术有助于体像障碍受术者消除消极体像。更多还原

【Abstract】 Objective To identify the influence of the rhinoplasty on the body image of the persons receiving the rhinoplasty,and to discuss the postoperative changes of body image of the patients with body dysmorphic disorder.Methods 108 patients were tested with the self-rating body dysmorphic disorder scale before and after the rhinoplasty,and the results were analyzed.Results The scores about the degree of the body image concerned,the degree of the emotion damnified,and the degree of the social intercourse were higher than those about other aspects.The prevalence of the body dysmorphic disorder in the patients receiving the rhinoplasty was 16.7%.In the all patients,the score of the preoperative scales was 19.23±11.69,and that of the postoperative scales was 15.89±10.26(P<0.01).In the patients with body dysmorphic disorder,the score of the preoperative scales was 45.36 ±5.27,and that of the postoperative scales was 31.08±9.14(P<0.05).The items of the scores which were decreased after the rhinoplasty were focused on the sense of the body defect,the degree of the emotion damnified,and the degree of social intercourse.Conclusion The patients receiving the rhinoplasty pay much attention to their own body image preoperatively,and their emotion are damnified severely.The rhinoplasty can improve their body image.Body dysmorphic disorder is the frequent psychological complication in the patients receiving the rhinoplasty,and the rhinoplaty can help the patients with body dysmorphic disorder to eliminate the negative body image.更多还原