面部美容外科术前诊断问题及其有效对策研究(1)
[摘要]目的：分析和探讨目前面部美容术前诊断的问题及其有效对策。方法：收集2012 年5月至2013年5月在我科进行面部美容术前咨询者96例，分为对照组和实验组，分别由我院医师在规范化培训前和规范化培训后进行术前诊断。分析诊断问题及对比规范化培训前后诊断准确率。结果：两组诊断技能评分病史采集、专科检查、美容心理检查、鉴别诊断、诊断思维方面比较，差异有统计学意义(P<0.05)；在医学美学、美容解剖学误诊方面差异无统计学意义(P>0.05)，而在漏诊率方面实验组明显降低对照组(P<0.05)，在心理学诊断上误诊率也同样低于对照组(P<0.05)。结论：面部美容术前诊断规范化培训后，可以显著提高诊断技能，明显降低误诊和漏诊率，是医学美容手术前亟需重视的环节。
[关键词]美容外科；诊断；面部
[中图分类号]R471 [文献标识码]A [文章编号]1008-6455(2014)22-1936-03
Research on the problems of the diagnosis of facial cosmetic surgery and effective countermeasures before operation
ZHOU Yu
(Yiman Medical Beauty Clinic Jintan，Yancheng Institute of Health Sciences，Yancheng 224005 Jiangsu，China)
Abstract： Objective To analysis and explore the current problems of preoperative diagnosis of facial cosmetology and effective countermeasures. Methods 96 cases collected from 2012 May to 2013 May in our department were advised before the facial cosmetic surgery， and were divided into the experimental group and the control group， respectively preoperative diagnosed by doctors. Analysis of diagnosis problem， and compared before and after the standardized training for the accuracy rate of diagnosis. Results Comparison of two groups of diagnostic skill score history collection， special examination，beauty psychological examination，differential diagnosis， diagnostic thinking， the difference was statistically significant (P <0.05)； the difference was not statistically significant in terms of medical aesthetics， beauty anatomy misdiagnosis (P>0.05)， while in the rate of missed diagnosis of experimental group was significantly decreased in the control group (P<0.05)， in the psychological diagnosis misdiagnosis rate is also lower than that of the control group (P<0.05). Conclusion Facial cosmetic preoperative diagnosis standardization training，can significantly improve the diagnostic skills， significantly reduce the misdiagnosis and missed diagnosis rate before operation， medical hairdressing to link.
Key words：facial cosmetic surgery； diagnosis；face
临床诊断是通过询问病情学、体征检查及其他医学辅助检查手段，运用科学的临床思维去识别疾病、判断和揭示疾病的本质，为预防及治疗疾病提供依据[1]。美容外科的临床诊断不仅仅要判断人体的美学及其解剖学问题，而且更要揭示美容心理学本质。但在美容外科实际工作中，部分医师认为美容问题较易诊断，术前多以主观判断为准，客观指标较少，误诊漏诊率增高，是美容术后满意率下降、纠纷案例增多的主要因素之一。同样在理论上，关于美容外科术前诊断的较少。因此有必要对美容外科的诊断进行全面深入的研究，规范美容外科的术前诊断。本文对整形美容住院医师及医学美容咨询师进行了面部美容术前诊断规范化培训，取得了明显的效果，现报道如下。
1 资料和方法
1.1一般资料：96例求美者全部来自2012 年5月～2013年 5 月我科门诊，平均分为实验组和对照组，实验组年龄21～46岁，平均年龄(26.6±8.5)岁，其中男性4例，女性44例；对照组年龄19～48岁，平均年龄(25.7±10.2)岁，其中男6例，女42例。两组一般资料比较无统计学意义(P>0.05)，所有术前第一次初步诊断为我院3名整形美容住院医师及3名医学美容咨询师实施，所有人员都有从业资格证书，从业时间3年以上。每人每组对8例患者行术前诊断。 (周羽)
[关键词]美容外科；诊断；面部
[中图分类号]R471 [文献标识码]A [文章编号]1008-6455(2014)22-1936-03
Research on the problems of the diagnosis of facial cosmetic surgery and effective countermeasures before operation
ZHOU Yu
(Yiman Medical Beauty Clinic Jintan，Yancheng Institute of Health Sciences，Yancheng 224005 Jiangsu，China)
Abstract： Objective To analysis and explore the current problems of preoperative diagnosis of facial cosmetology and effective countermeasures. Methods 96 cases collected from 2012 May to 2013 May in our department were advised before the facial cosmetic surgery， and were divided into the experimental group and the control group， respectively preoperative diagnosed by doctors. Analysis of diagnosis problem， and compared before and after the standardized training for the accuracy rate of diagnosis. Results Comparison of two groups of diagnostic skill score history collection， special examination，beauty psychological examination，differential diagnosis， diagnostic thinking， the difference was statistically significant (P <0.05)； the difference was not statistically significant in terms of medical aesthetics， beauty anatomy misdiagnosis (P>0.05)， while in the rate of missed diagnosis of experimental group was significantly decreased in the control group (P<0.05)， in the psychological diagnosis misdiagnosis rate is also lower than that of the control group (P<0.05). Conclusion Facial cosmetic preoperative diagnosis standardization training，can significantly improve the diagnostic skills， significantly reduce the misdiagnosis and missed diagnosis rate before operation， medical hairdressing to link.
Key words：facial cosmetic surgery； diagnosis；face
临床诊断是通过询问病情学、体征检查及其他医学辅助检查手段，运用科学的临床思维去识别疾病、判断和揭示疾病的本质，为预防及治疗疾病提供依据[1]。美容外科的临床诊断不仅仅要判断人体的美学及其解剖学问题，而且更要揭示美容心理学本质。但在美容外科实际工作中，部分医师认为美容问题较易诊断，术前多以主观判断为准，客观指标较少，误诊漏诊率增高，是美容术后满意率下降、纠纷案例增多的主要因素之一。同样在理论上，关于美容外科术前诊断的较少。因此有必要对美容外科的诊断进行全面深入的研究，规范美容外科的术前诊断。本文对整形美容住院医师及医学美容咨询师进行了面部美容术前诊断规范化培训，取得了明显的效果，现报道如下。
1 资料和方法
1.1一般资料：96例求美者全部来自2012 年5月～2013年 5 月我科门诊，平均分为实验组和对照组，实验组年龄21～46岁，平均年龄(26.6±8.5)岁，其中男性4例，女性44例；对照组年龄19～48岁，平均年龄(25.7±10.2)岁，其中男6例，女42例。两组一般资料比较无统计学意义(P>0.05)，所有术前第一次初步诊断为我院3名整形美容住院医师及3名医学美容咨询师实施，所有人员都有从业资格证书，从业时间3年以上。每人每组对8例患者行术前诊断。 (周羽)