[摘 要]目的 探讨曲安奈德联合玻璃酸酶在面部注射整形后并发硬结反应中的应用效果。方法 选择2020年10月1日-2022年6月30日在西安悦她婕熹卡医疗美容门诊部进行面部注射整形后产生硬结反应的83例患者为研究对象，随机分为对照组(39例)和治疗组(44例)。对照组采用地塞米松磷酸钠注射液给予局部注射治疗，治疗组采用曲安奈德联合玻璃酸酶给予局部注射治疗，比较两组临床疗效、症状改善情况与不良反应发生情况。结果 治疗组治疗总有效率为97.73%，高于对照组的82.05%，差异有统计学意义(P<0.05)；治疗组治疗后6个月硬结大小、硬结硬度、硬结凸度评分低于对照组，差异有统计学意义(P<0.05)；治疗组不良反应发生率为4.55%，低于对照组的23.08%，差异有统计学意义(P<0.05)。结论 应用曲安奈德联合玻璃酸酶治疗面部注射整形后并发的硬结反应能改善临床症状，提高治疗效果，还可减少不良反应发生几率。

    [关键词] 曲安奈德；玻璃酸酶；面部注射整形；硬结反应

    [中图分类号] R622 [文献标识码] A [文章编号] 1004-4949(2024)04-0020-04

    Application Effect of Triamcinolone Acetonide Combined with Hyaluronidase in Induration Reaction After Facial Injection Plastic Surgery

    MA Lin， LI Le， LIU Xin， XU Da

    (Plastic Surgery Department of Xi’an Yueta Jiexika Medical Beauty Clinic， Xi’an 710038， Shaanxi， China)

    [Abstract]Objective To investigate the application effect of triamcinolone acetonide combined with hyaluronidase in induration reaction after facial injection plastic surgery. Methods From October 1，2020 to June 30，2022， 83 patients with induration reaction after facial injection and plastic surgery in Xi’an Yueta Jiexika Medical Beauty Clinic were selected as the research objects. They were randomly divided into control group (39 patients) and treatment group (44 patients). The control group was treated with local injection of dexamethasone sodium phosphate injection ......