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庆大霉素辅助局部注射修复眼睑炎性肉芽肿的美容效果及预后观察(1)
http://www.100md.com 2018年6月1日 《中国美容医学》 2018年第11期
     [摘要]目的:探討庆大霉素辅助局部注射修复眼睑炎性肉芽肿的美容效果及预后。方法:回顾性分析笔者医院2015年5月-2018年3月收治的眼睑炎性肉芽肿患者50例的诊疗情况。根据用药方式的不同,分为观察组(n=35)和对照组(n=15)。对照组采用曲安奈德局部注射修复治疗,观察组采用曲安奈德联合庆大霉素局部注射修复治疗。治疗3周后,比较两组患者美容效果、肉芽肿硬度及大小、患者对美观状况的满意度以及不良反应。结果:治疗后,观察组总有效率为88.57%,显著高于对照组的60.00%,差异有统计学意义(P<0.05)。治疗前,两组患者肉芽肿硬度及大小无显著性差异(P>0.05);治疗后,两组患者肉芽肿硬度及大小明显减小,且观察组患者肉芽肿硬度及大小分别为(1.14±0.11)分、(0.22±0.12)cm2,明显小于对照组(1.32±0.25)分、(0.45±0.17)cm2,差异有统计学意义(P<0.05)。观察组患者满意度为85.71%,显著高于对照组53.33%,差异有统计学意义(P<0.05)。结论:眼睑炎性肉芽肿患者采用庆大霉素辅助局部注射修复,可取得较好的美容效果,保证患者美观,提高患者满意度,值得临床推广应用。
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    [关键词]眼睑炎性肉芽肿;曲安奈德;庆大霉素;美容效果;局部注射

    [中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0122-03

    Abstract: Objective To investigate the cosmetic effect and prognosis of gentamicin-assisted granuloma local injection for repairing orbital inflammatory granuloma. Methods Retrospective analysis of the diagnosis and treatment of 50 cases of orbital inflammatory granuloma admitted to our hospital from May 2015 to March 2018. According to the different medication methods, it was divided into the observation group (n=35) and the control group (n=15).The control group was treated with local injection of triamcinolone acetonide, and the observation group was treated with local injection of triamcinolone acetonide combined with gentamicin. After 3 weeks of treatment, the cosmetic effects, granuloma hardness, size, patient satisfaction with aesthetic conditions, and adverse reactions were compared between the two groups. Results After treatment, the total effective rate of the observation group was 88.57%, which was significantly higher than that of the control group (60.00%, P<0.05). Before treatment, there was no significant difference in the hardness and size of granuloma between the two groups (P>0.05). After treatment, the granuloma hardness and size of the two groups were significantly reduced, and the hardness and size of granuloma in the observation group were (1.14±0.11) points, (0.22±0.12)cm2, significantly less than the control group (1.32±0.25) points, (0.45±0.17)cm2, the differences were statistically significant(P<0.05). The patient satisfaction of the observation group was 85.71%, which was significantly higher than that of the control group (53.33%, P<0.05). Conclusion Patients with orbital inflammatory granuloma have achieved significant cosmetic effects by using gentamicin-assisted granuloma local injection repair and repair treatment to ensure the patient's aesthetics and improve patient satisfaction. It is worthy of clinical promotion., 百拇医药(杨艳华)
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