双叶皮瓣修复鼻部软组织缺损效果探讨  

The Effect of Bilobed Flap in Repairing Nasal Soft Tissue Defect

作　　者：罗鹏[1] 黄智勇[1] 周涛 LUO Peng;HUANG Zhi-yong;ZHOU Tao(Department of Burn and Plastic Surgery,Chengdu Second People's Hospital,Chengdu 610000,Sichuan,China)

机构地区：[1]成都市第二人民医院烧伤整形科

出　　处：《中国美容医学》2019年第9期74-77,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究双叶皮瓣修复鼻部软组织缺损患者的临床疗效。方法:本研究于2017年1月-2018年1月选取64例在笔者医院接受治疗的鼻部软组织缺损患者作为研究对象,采用随机数字表法,随机将其分为A、B两组,每组各32例。对A组患者采用双叶皮瓣进行修复,B组患者采用鼻唇沟皮瓣进行修复,比较两组术后不同时间点的优良率、不良反应发生率以及患者满意度。结果:术后3个月,A组和B组的优良率分别为81.25%、65.63%,组间比较差异不具有统计学意义(P>0.05)。术后6个月,A组优良率为96.88%高于B组的71.88%,差异有统计学意义(P<0.05)。术后,A组和B组的不良反应发生率分别为6.25%和31.25%,组间比较差异有统计学意义(P<0.05)。A组满意度为93.75%,B组满意度为71.88%,A组的满意度高于B组(P<0.05)。结论:在对鼻部软组织缺损患者进行修复手术的过程中,采用双叶皮瓣进行修复,具有较高的优良率,较低的不良反应发生率,以及较高的患者满意度,值得应用和推广。Objective To study the clinical effect of bilobed flap in repairing nasal soft tissue defect. Methods From January 2017 to January 2018, this study selected 64 cases of patients receiving treatment in our hospital for nasal partial soft tissue defect as the research object, and used the random number table method to randomly divide into the two groups, with 32 cases in each group. Patients in group A were repaired with bilobed flap, and patients in group B were repaired with nasolabial groove skin flap. The excellent and good rate, incidence of adverse reactions and patient satisfaction at different postoperative time points were compared between group A and group B. Results Three months after operation, the excellent and good rates of group A and group B were 81.25% and 65.63%, respectively, there was no significant difference between the two groups(P>0.05). Six months after operation, the excellent and good rate of group A was 96.88% higher than that of group B(71.88%), the difference was statistically significant(P<0.05). The incidence of adverse reactions in group A and group B were 6.25% and 31.25%, respectively(P<0.05). The satisfaction of group A was 93.75%, and that of group B was 71.88%, the satisfaction of group A was higher than that of group B(P<0.05). Conclusion In the process of repairing patients with nasal soft tissue defects, the repair with bilobed flap repair has a high rate of excellent, low incidence of adverse reactions, and high patient satisfaction, which is worthy of application and promotion.

关 键 词：双叶皮瓣 鼻部 软组织缺损 鼻唇沟皮瓣 美学修复 

分 类 号：R622[医药卫生—整形外科]