上唇缺损畸形手术治疗的探讨  

Reconstruction of upper lip defect

作　　者：龙剑虹[1] 孙杨[1] 杨兴华[1] 张丕红[1] 

机构地区：[1]湖南中南大学湘雅医院整形美容科,长沙410008

出　　处：《中华整形外科杂志》2013年第6期427-431,共5页Chinese Journal of Plastic Surgery

摘　　要：目的探讨不同程度上唇缺损畸形的手术治疗方法。方法1998年1月至2012年4月，中南大学湘雅医院整形科诊治243例上唇缺损畸形患者，根据上唇缺损的亚单位、范围及程度，使用不同手术方法进行缺损修复，其中直线缝合法48例，交叉三角瓣法及（或）V-Y推进法69例，口轮匝肌瓣法5例，单侧红唇瓣法53例，双侧红唇瓣法42例，下唇瓣法22例，颞蒂前额皮瓣修复法1例，前臂皮瓣法1例，鼻唇沟皮瓣法2例。通过术后随访及满意度调查，分析比较不同手术方法及手术效果。结果治疗上唇缺损畸形患者243例，其中外伤缺损85例，唇裂继发唇畸形110例，肿瘤术后48例，术后随访3～18个月，效果满意。135例患者接受满意度调查，106例非常满意，26例满意，满意度97．8％。结论对上唇缺损的修复应根据患者的缺损程度及具体情况，采取不同的手术方案，方可获得满意的效果。Objective To summarize the clinical experience for the reconstruction of upper lip defects in different degrees. Methods Different treatment methods were selected to reconstruct the upper lip defects according to the subunit, size or location of defects on the upper lip. The therapeutic results were analyzed and compared. Results From Jan. 1998 to Apr. 2012, 243 cases with upper lip defects were treated, including 85 cases of traumatic defects, 110 cases of defects secondary to lip cleft and 48 cases of defects after tumor resection. 48 cases were treated with direct closure, 69 cases with cross-lip flaps, 5 Cases with orbicularis oris muscle flaps, 53 cases with unilateral labial flaps, 42 cases with bilateral labial flaps, 22 eases with lower lip flaps, and 1 case with forehead flap, 1 case with forearm flap and 2 with nasolabial fold flaps. The patients were followed up for 3-18 months with satisfactory results. Conclusions Satisfactory results could be achieved for upper lip defects with appropriate treatment methods according to the defects degree and characters.

关 键 词：上唇缺损 唇裂术后继发畸形 上唇部亚单位 

分 类 号：R782.2[医药卫生—口腔医学]