在整形手术后立即影响渐进的面部胀的因素:一个回顾性队列研究
Kaori Sakane1, Shogo Hasegawa1, Hiroaki Nakao1
1Department of Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University, 2-11 Suemori-Dori, Chikusa, Nagoya, Aichi, 464-8651, Japan.
概括
在整形手术后面部逐渐胀可能与XIII因子缺乏有关. 这项研究确定了关键的临床因素,包括手术时间和血红蛋白水平,与下手术后胀增加有关.
科学领域:
- 口腔和牙面部外科手术
- 整形外科 整形外科 整形外科
- 血液学 血液学 血液学
背景情况:
- 整形手术可以纠正部形,但可能导致手术后面部显著胀.
- 识别影响胀的因素对于患者的治疗和治疗结果至关重要.
研究的目的:
- 为了确定与正手术后面部逐渐胀相关的临床因素.
- 研究XIII因子 (FXIII) 在手术后面部胀中的作用.
主要方法:
- 对78名接受了整形手术的患者进行了回顾性分析.
- 使用3D成像 (VECTRA H2) 量化面部胀体积,比较手术前和3天后的扫描.
- 胀体积与临床因素之间的相关性分析,包括操作时间,ΔHb和FXIII活性.
主要成果:
- 面部胀体积 (平均41.6厘米3) 与较长的操作时间 (平均209.3分钟) 和增加的DHb水平 (平均1.18g/dL) 有显著的相关性.
- 降低XIII因子活性 (平均75.3%) 与更大的面部胀显著相关.
- 多变量分析证实FXIII缺乏是增加面部胀体积的重要预测因素.
结论:
- 十三因子缺乏是与正手术后面部逐渐胀相关的显著临床因素.
- 手术时间和血红蛋白变化也与胀相关,但FXIII缺乏似乎是关键的潜在因素.
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