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目的:探究口内入路下颌角截骨术后患者的生活质量、心理健康和社会功能变化，以及影响手术满意度的因素。方法:以2016年12月至2019年12月华中科技大学同济医学院附属协和医院整形外科收治的235例下颌角肥大患者为研究对象，均行口内入路下颌角截骨整形术。根据中文版FACE-Q制作问卷，分别于术前、术后6个月从面部外观、生活质量、不良反应等方面对其进行评估，分值范围0～100分，得分越高表明满意度越高。使用配对n t检验分析术前、术后差异，通过Pearson相关分析心理功能和社会功能与各维度得分间的关系，并使用逐步回归分析模型探索影响手术满意度的因素，当回归系数n B>0时说明具有正向影响关系。n 结果:共收回83份完整问卷，其中男12例，女71例，年龄19～41岁，平均25.8岁。其中初中学历1例，高中11例，大学54例，硕士及以上17例。1例患者对手术效果不满意，其余患者均表示满意。不同维度术后的评分均高于术前，差异均有统计学意义(n P<0.05)，下面部与下颌满意度提高了(32.54±13.77)分，颏部满意度提高了(8.17±10.97)分，面部总体外观满意度提高了(31.42±15.67)分，心理健康提高了(18.17±16.39)分，社会功能(自信心)提高了(14.11±13.34)分。不同文化水平之间的患者在不同维度的FACE-Q得分比较，差异有统计学意义(n P<0.05)。通过Pearson相关分析研究发现心理健康和社会功能对患者手术满意度的影响存在正相关关系(n r：0.482～0.806，n P0，n P<0.05，n R2＝0.584)。n 结论:下颌角术后患者的面部外观、生活质量、心理健康、社会功能(自信心)等方面都有所改善，影响患者对手术的满意度受多种因素影响，其中最重要、最可能的因素为术后下颌轮廓与下面部外观的美观程度，同时也与受教育程度、心理健康和社会功能有着密切的联系。“,”Objective:To explore the effect of prominent mandibular angle osteotomy on the quality of life, mental health and social function, as well as the factors related to the postoperative satisfaction.Methods:A total of 235 patients with prominent mandibular angle were collected from the Department of Plastic Surgery, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology from December 2016 to December 2019. All patients underwent intraoral mandibular angle osteotomy. The Chinese version of FACE-Q questionnaire was used to evaluate their facial appearance, quality of life, mental health and social function before and 6 months after operation. The higher the score (0-100), the higher the satisfaction. Paired n t-test was used to analyze the differences between preoperative and postoperative result, and stepwise regression analysis was used to explore the factors affecting postoperative satisfaction.n Results:A total of 83 people completed the questionnaires, including 12 males and 71 females. Educational level was recorded as: 1 person graduated from junior high school, 11 people from senior high school, 54 people obtained a bachelor’s degree, 17 people obtained a master’s degree or above, with an average age of 25.8 years old. One patient was not satisfied, and the other patients were satisfied. The scores of different dimensions after operation were significantly higher than those before operation. The satisfaction with lower face and mandible increased by 32.54 ±13.77, and the satisfaction with chin increased by 8.17 ±10.97. The overall facial appearance satisfaction, mental health and social function (self-confidence) increased by 31.42 ±15.67, 18.17 ±16.39 and 14.11 ±13.34 respectively. There were significant differences in FACE-Q scores in different dimensions among patients with different educational levels. It was found by Pearson’s relevant research that there was a positive correlation between the influence of psychological function and social function on patients’ satisfaction (n r: 0.482-0.806, n P0,n P<0.05,n R2=0.584).n Conclusions:The facial appearance, quality of life, mental health and social function (self-confidence) of the patients after mandibular angle operation were improved. Patients’ satisfaction after operation is affected by many factors, among which the most important and most likely factor is the post-operative mandibular contour and the appearance of the lower face. Meanwhile, it is also closely related to educational level, psychological function and social function.