鼻畸形矫正术在初期修复单侧唇裂的应用评价  

The technique application of nasal deformity correction in early repair of the unilateral cleft lip

作　　者：温裕庆[1] 李荣兴[1] 张炜强[1] 王彪[2] WEN Yu-qing;LI Rong-xing;ZHANG Wei-qiang;WANG Biao(Department of Burns and Plastic Surgery,Longyan First Hospital,Longyan 364000,Fujian,China;Department of Plastic Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350000,Fujian,China)

机构地区：[1]福建医科大学附属龙岩第一医院烧伤整形医疗美容科,福建龙岩364000 [2]福建医科大学附属第一医院整形科,福建福州350000

出　　处：《中国美容医学》2016年第8期37-40,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：研究单侧唇裂初期修复术同时行鼻畸形矫正对鼻外形的影响。方法：选择行78例单侧唇裂患者，均采用长庚改良旋转推进法实施单侧唇裂修复手术。对照组为2007年1月-2009年12月的40例患者，唇裂修复时未行鼻畸形矫正。研究组为2010年1月-2012年12月的38例患者，唇裂修复时行鼻畸形矫正。2组均在唇裂术后4～8年观察鼻小柱偏离程度、鼻底宽度和对称性、鼻孔对称性。数据采用SPSS17.0统计软件进行统计。结果：比较研究组和对照组术后4～8年鼻小柱偏离程度、鼻底宽度和对称性、鼻孔对称性，术后4～8年研究组鼻外形优于对照组。两组差异有统计学意义(P＜0.05)。结论：单侧唇裂初期修复术同期行鼻畸形矫正的患者，其术后鼻小柱偏离程度、鼻底宽度和对称性、鼻孔对称性进一步改善，且对外鼻的生长发育无不良影响。Objective To observe the effects of external nasal in early unilateral cleft lip repair and the deformity of nosecorrection at the same time. Methods A total of 78 patients who were unilateral cleft and adopted the surgery of improvedMillard lip repair admitted,40 cases who were only unilateral cleft lip repair from January 2007 to December 2009 years,ascontrol group;then the remain who underwent unilateral cleft lip repair and nasal deformity correction at the same timefrom January 2010 to December 2012,as experiment group.Nasal columella deviation degree, nasal base width symmetricalrate, nasal floor highly symmetric rate and nasal base length were compared between two groups in 4 to 8 years followingsurgery. Evaluation results using SPSS10.0 software package for paired t test. Results The observation of nasal base widthsymmetrical rate, nasal floor highly symmetric rate, nasal base length, nasal deformity between two groups in 4 to 8 yearsfollowing surgery,which reminder the external nasal in experiment group were better than those in control group, the differencewas statistically significantly (P <0.05). Conclusion The postoperation of repair of Unilateral cleft lip and nasal deformitycorrection at the same time improved nasal columella deviation degree, nasal base width symmetrical rate, nasal floor highlysymmetric rate and nasal base length further, and the growth of external nose development without adverse effects.

关 键 词：鼻畸形矫正术 单侧唇裂修补术 效果 

分 类 号：R782.2[医药卫生—口腔医学]