自体鼻中隔软骨联合膨体聚四氟乙烯与自体耳软骨移植在鼻尖整形中的对照研究  

Reshaping the nasal tip with autologous nasal septum cartilage combined with ePTFE grafts andautologous auricular cartilage grafts

作　　者：王璐[1] 朱莹[2] 陈曼静[2] 董斌[2] 刘林皤[2] 

机构地区：[1]郑州大学第二附属医院整形外科 [2]郑州大学第一附属医院整形外科

出　　处：《中华耳鼻咽喉头颈外科杂志》2012年第7期594-596,共3页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的评价自体鼻中隔软骨联合膨体聚四氟乙烯移植与自体耳软骨移植在鼻尖整形中的临床效果。方法对照观察自体鼻中隔软骨联合膨体聚四氟乙烯移植（A组：70例）与自体耳软骨移植（B组：48例）在鼻尖整形中的疗效、手术操作时间及术中术后并发症。以SPSS12．0软件进行t检验或x^2。检验。结果A组手术操作平均（x±s）时间短于B组，差异有统计学意义（t=13．258，P=0．000）。A组鼻尖宽度在6～8mm的67例（95．7％），B组46例（95．8％），差异无统计学意义（x^2=0．001，P=0．996）；2组患者鼻尖表现点、后旋角、鼻背与鼻小柱夹角、鼻尖高度差异均无统计学意义（x^2值分别为0．001、0．069、0．149、0．073，P值均〉0．05）。结论自体鼻中隔软骨联合膨体聚四氟乙烯与自体耳软骨移植术临床效果相近。Objective To evaluate the clinical effects of reshaping the nasal tip with autologous nasal septum cartilage combined with expanded polytetrafluoroetttylene （ePTFE） and autologous auricular cartilage grafts. Methods The nasal septal cartilage combined with ePTFE （ group A, 70 cases ） and autologous auricular cartilage grafts （ group B, 48 cases） were used separately. The therapeutic effect and operation time were compared using the t-test or the x^2-test by the SPSS 12.0 software. Results The mean operation time （x±s） in group A was less than those in group B and the difference was significant （ t = 13. 258, P = 0. 000）. The width of nasal tip equal to （6 - 8 ） mm was found in 67 cases （95.7%） in group A, and 46 cases（ 95.8% ） in group B. There was no statistically significant difference between group A and group B （x^2= 0. 001, P = 0. 996）. The correction result of the nasal tip projection, angle of ration, the included angle of nasal dorsum and nasal columella and the height of the nasal tip did not show statistically significant difference between group A and group B （x^2value were 0. 001, 0. 069, 0. 149, 0. 073, respectively, all P 〉 0.05 ）. Conclusion The autologous nasal septal cartilage combined with ePTFE and autologous auricular cartilage grafts showed similar clinical effect.

关 键 词：鼻中隔 软骨 耳软骨 鼻成形术 假体植入 聚四氟乙烯 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]