新旋转推进法重建鼻唇对称性的临床效果  

Effect of a novel rotating advancing method on reconstruction of nasal lip symmetry

作　　者：李承浩 韩亚培[1,2,3] 石冰 Li Chenghao;Han Yapei;Shi Bing(State Key Laboratory of Oral Diseases Research,Chengdu 610041,China;National Center for Clinical Medical Research of Oral Diseases,Chengdu 610041,China;West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室,成都610041 [2]国家口腔疾病临床医学研究中心,成都610041 [3]四川大学华西口腔医院,成都610041

出　　处：《中华医学美学美容杂志》2019年第6期447-451,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨肌肉重建力矩平衡理论在新旋转推进法的应用,并对此方法进行修复的单侧唇裂患儿术后鼻唇对称性进行效果评估。方法2017年4月至2018年11月,四川大学华西口腔医院唇腭裂外科收集62例(男40例,女22例)单侧唇裂患儿;完全性25例(年龄3~8个月,平均4个月),不完全性37例(年龄2~10个月,平均3.6个月)。用力矩平衡的新旋转推进法分别于术前、术后即刻、术后1年对患儿进行后前位、下颌抬颏位的二维照相。用Photoshop软件对二维照片进行5个代表鼻唇对称性的指标的测量。用t检验比较不同时刻各角度或距离指标的测量。结果25例完全性唇裂患儿获得了手术即刻及术后1年较好的效果;其中鼻小柱倾斜角,鼻背倾斜角,鼻尖凸度,健、患侧鼻底宽之比,健、患侧鼻翼基部高之比,5个测量指标在术前、术后即刻比较差异有统计学意义(P<0.05)。37例不完全性唇裂患儿同样获得手术即刻及术后1年较好的效果。健、患侧鼻翼基部高之比在术前、术后即刻、术后1年分析中,差异无统计学意义(P=0.778,P=0.869,P=0.330)。结论新的口轮肌力矩平衡理论是在肌肉环形重建基础上新的突破,适用于单侧唇裂初期修复,效果较满意。Objective To introduce the application of muscle reconstruction torque balance theory in the new rotating advancement method,and to evaluate the postoperative effect of this method on the nasal lip symmetry of patients with unilateral cleft lip.Methods A total of 62 patients with unilateral cleft lip were treated with two-dimensional radiography of posterior anterior position and mandibular chin position before,immediately and one-year follow-up.Five indexes representing the symmetry of lip and nose were measured by photoshop software.T test was used to compare the measurement results of each angle or distance index at different times.P<0.05 showed that there was significant difference between the two groups.Results All the patients who were treated with the technique described in this study obtained satisfactory lip and nasal symmetry immediately and one-year follow-up.Conclusions The new theory of oral muscle strength balance is a new breakthrough on the basis of the application of muscle reconstruction.It is suitable for the primary repairment of unilateral lip,and good results have been obtained.

关 键 词：唇裂 矫形外科手术 肌肉重建 肌力平衡 力矩 新旋转推进法 

分 类 号：R78[医药卫生—口腔医学]