摘要目的:探讨全面部除皱术的手术方法并进行FACE-Q量表评估。方法:2010年1月至2016年12月，北京大学第三医院成形外科对接受全面部除皱提升术女性患者126例(年龄27~64岁，平均43.3岁)进行FACE-Q系列14个量表的评估。结果:共44例患者完成FACE-Q量表，随访6~86个月，平均27.9个月。面部整体满意度(87.30±10.79)分，额部及眉部满意度(92.16±10.12)分，颧部满意度(93.30±6.95)分，颊部满意度(91.20±10.17)分，颈部满意度(87.16±9.65)分，整体皱纹评估(87.57±9.71)分，额部皱纹评估(91.80±10.23)分，眉间皱纹评估(90.43±10.76)分，鼻唇沟评估(88.25±12.10)分，鱼尾纹评估(91.52±13.66)分，社会功能(88.70±9.40)分，心理功能(88.77±10.49)分，手术决策满意度(90.86±9.06)分，手术结果满意度(90.03±10.61)分，自我评价年轻(8.33±3.15)岁。<40岁、40~50岁、>50岁年龄组的量表结果比较，差异无统计学意义( P>0.05)。 结论:全面部除皱术为综合的全面部年轻化治疗方案。经FACE-Q系列量表证实在短期及长期随访中有较高的满意度。

abstractsObjective:To explore the technique procedure for comprehensive facial rhytidectomy, and to evaluate the surgical outcome.Methods:A total of 126 patient received comprehensive facial rhytidectomy were involved in this study and the outcomes were evaluated by using 14 FACE-Q scales.Results:Totally 44 patients completed the FACE-Q scales, with the follow-up of 6 to 86 months, with an average of 27.9 months. The overall satisfaction was 87.30±10.79 (mean±standard deviation), satisfaction with forehead and brow was 92.16±10.12, satisfaction with cheekbones was 93.30±6.95, satisfaction with cheek was 91.20±10.17, and satisfaction with neck was 87.16±9.65; appraisal of overall lines was 87.57±9.71, appraisal of forehead lines was 91.80±10.23, appraisal of glabella lines was 90.43±10.76, appraisal of nasolabial fold was 88.25±12.10, and appraisal of crow＇s feet was 91.52±13.66; social function scores were 88.70±9.40, psychological function scores 88.77±10.49, surgical decision satisfaction scores 90.86±9.06, and surgical outcome satisfaction scores 90.03±10.61. Self-evaluation was 8.33±3.15 years younger. There was no statistically significant difference in the scale results between the age groups of <40 years, 40-50 years, and >50 years.Conclusions:Comprehensive facial rhytidectomy is a systematic and thorough surgical solution for rejuvenation. This procedure is proved to be of high satisfactory degree in short and long-term follow-up by FACE-Q scales.