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颞部三点减张悬吊法在面部除皱术中的应用及其临床意义

Temporal three-point relief-tension suspension technique for facial rhytidectomy

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【作者】 张志宏齐杰王佳琦王黔梁伟中杨宇薛志强郑行跃归来

【Author】 ZHANG Zhi-hong, QI Jie, WANG Jia-qi, WANG Qian, LIANG Wei-zhong, YANG Yu, XUE Zhi-qiang, ZHENG Xing-yue, GUI Lai. Department of Face and Neck Plastic and Aesthetic Surgery, Plastic Surgery Hospital, the Chinese Academy of Medical Sciences, Beijing 100041,China

【机构】 中国医学科学院整形外科医院面颈部整形美容中心中国医学科学院整形外科医院面颈部整形美容中心 100041北京100041北京(现在中国石油天燃气集团公司中心医院整形手外科100041北京

【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。

【Abstract】 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.

【关键词】 面部除皱术颞部减张
【Key words】 Facial rhytidoplasty Temple Relief tension
  • 【文献出处】 中华整形外科杂志 ,Chinese Journal of Plastic Surgery , 编辑部邮箱 ,2006年02期
  • 【分类号】R622
  • 【被引频次】14
  • 【下载频次】199
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