膨体聚四氟乙烯假体与固体硅胶软组织在鼻整形术中的应用  

Comparison of the Application of Expanded Polytetrafluoroethylene Prosthesis and Solid Silicone Soft Tissue Implantation in Rhinoplasty

作　　者：朱兴华[1] 蔡玉辉[1] 张逸[1] 王磊[1] ZHU Xing-hua,CAI Yu-hui,ZHANG Yi.WANG Lei(Department o f Bum and Plastic Surgery, Affiliated Hospital of Nantong University,Nantong 226000, Jiangsu,Chin)

机构地区：[1]南通大学附属医院烧伤整形科,江苏南通226000

出　　处：《中国美容医学》2018年第7期17-19,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较膨体聚四氟乙烯假体与固体硅胶软组织在鼻整形术中的应用效果。方法:收集笔者医院2012年1月-2017年1月收治的60例鼻整形患者的病历资料,根据置入材料不同分组,置入膨体聚四氟乙烯假体者纳入观察组(n=36),置入固体硅胶软组织纳入对照组(n=24)。随访12个月,测量两组患者术后3个月、12个月鼻部塑形指标,评估患者主观满意度,统计并发症发生率。结果:观察组术后12个月鼻根高、鼻面角、鼻尖角分别为(6.16±0.34)mm、(28.03±2.60)°、(89.02±2.46)°显著优于对照组的(5.95±0.39)mm、(26.53±2.81)°、(87.60±2.78)°,差异有统计学意义(P<0.05)。观察组满意率为83.3%显著高于对照组的58.3%,差异有统计学意义(P<0.05)。观察组并发症总发生率为8.3%显著低于对照组的33.3%,差异有统计学意义(P<0.05)。结论:膨体聚四氟乙烯假体具有良好远期固定效果与较高安全性,可以满足患者美容需求,与固体硅胶软组织比较,在鼻整形术中具有一定优势。Objective To compare the application value of expanded polytetrafluoroethylene（e-PTFE） prosthesis and solid silicone soft tissue implantation in rhinoplasty. Methods The clinical data of 60 patients undergoing rhinoplasty in our hospital from January 2012 to January 2017 were collected. They were divided into the observation group（n=36, e-PTFE prosthesis） and the control group（n=24, solid silicone soft tissue） according to different implant materials. They were followed up for 12 months. The nose shaping indexes of the two groups were measured at 3 months and 12 months after surgery. The patients＇ subjective satisfaction was evaluated and the incidence rate of complications was statistically analyzed. Results The nasal root salient, nasal facial angle and nasal tip angle of the observation group at 12 months after surgery [（6.16±0.34） mm,（28.03±2.60）°,（89.02±2.46）°] were significantly better than those of the control group [（5.95±0.39） mm,（26.53±2.81）°,（87.60±2.78）°], the differences were statistically significant（P〈0.05）. The satisfaction rate of the observation group was 83.3%, which was significantly higher than that of the control group（58.3%, P〈0.05）. The total incidence of complications in the observation group was 8.3%, which was significantly lower than that in the control group（33.3%, P〈0.05）. Conclusion The long-term fixation effect of e-PTFE prosthesis is good and its safety is high. It can meet the cosmetic needs of patients. Compared with solid silicone soft tissue, it has certain advantages in rhinoplasty.

关 键 词：鼻整形术 置入材料 膨体聚四氟乙烯 固体硅胶 

分 类 号：R622[医药卫生—整形外科]