颗粒脂肪移植对上睑凹陷病人生活质量、自信心和自我体像评价评分的影响

目的:探讨颗粒脂肪移植对上睑凹陷病人生活质量、自信心和自我体像评价评分的影响。方法:选取上睑凹陷病人80例（160眼），按照随机数字表法分为块状组40例80眼及颗粒组40例80眼。块状组行重睑切开联合块状脂肪移植术；颗粒组行颗粒脂肪移植术。2组均随访6个月，比较2组病人生活质量、自信心和自我体像评价评分情况。结果:颗粒组的手术时间、术中出血量均显著低于块状组（P<0.01）；颗粒组手术效果、生活质量、自信心及自我体像评价评分均高于块状组（P<0.05~P<0.01）；2组治疗前、后上睑凹陷分级情况差异均具有统计学意义（P<0.01）；颗粒组治疗后1级人数明显高于块状组（P<0.05）；颗粒组满意度明显高于块状组（P<0.05）；实际随访12~26个月，2组病人均未发生切口感染及其他严重并发症。结论:颗粒脂肪移植能有效提高上睑凹陷生活质量、自信心和自我体像。

Effect of granule fat transplantation on the life quality,self-confidence and self-image in patients with upper eyelid sinking

Objective: To investigate the effects of granule fat transplantation on the life quality,self-confidence and self-image in patients with upper eyelid sinking.Methods: Eighty patients(160 eyes) with upper eyelid sinking were randomly divided into the block group 40 cases 80 eyes and particle group 40 cases 80 eyes according to random number table method.The block group and particle group were treated with double eyelid incision combined with block fat transplantation and granule fat transplantation,respectively.Two groups were followed up for 6 months.The scores of life quality,self-confidence and self-image between two groups were compared.Results: The operation time and peroperative bleeding in particle group were statistically lower than those in block group(P<0.01).The scores of operation result,quality of life,self-confidence and self-image in particle group were higher than those in block group(P<0.05 to P<0.01).The difference of the grading of upper eyelid sinking between before and after treatment in two groups was statistically significant(P<0.01).After treatment,the number of stage 1 patients in particle group was significantly higher than that in block group(P<0.05),and the satisfaction degree of particle group was significantly higher than that of block group(P<0.05).No incision infection and other serious complications were found in two groups during the following up of 12-26 months.Conclusions: Granular fat transplantation can effectively improve the quality of life,self-confidence and self-image of patients with the upper eyelid sinking.