高密度多孔聚乙烯材料在鼻延长术中的应用  

Application of Porous High-density Polyethylene in Nasal Lengthening Plastic Surgery

作　　者：王祝威 闵沛如[1] 李洁[1] 章一新[1] 濮哲铭[1] WANG Zhuwei;MIN Peiru;LI Jie;ZHANG Yixin;PU Zheming(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科杂志》2020年第2期138-140,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨高密度多孔聚乙烯材料在鼻延长术中的临床应用效果。方法2015年10月至2018年1月,对47例患者采用高密度多孔聚乙烯材料行鼻延长术。分析患者手术前后鼻唇角、鼻梁长度指数和鼻部外形自主评分,以及术后并发症发生情况。结果本组患者术后平均随访(25.0±6.7)个月。手术前后的鼻唇角、鼻梁长度指数及鼻部外形自主评分均存在明显差异(P<0.01);患者对手术效果的整体满意度为97.8%;1例患者术后10 d因感染取出材料,其他患者无并发症发生。结论高密度多孔聚乙烯材料应用于鼻延长术效果良好,并发症发生率低,可作为鼻延长手术材料的一线选择。Objective To explore the clinical efficacy of porous high-density polyethylene in nasal lengthening plastic surgery.Methods From October 2015 to January 2018,47 patients underwent rhinoplasty for nasal lengthening using porous high-density polyethylene.The changes in evaluation indices of nasolabial angle and nasal bridge length index were measured before and after rhinoplasty and the improvement of subjective perception of nasal appearance was also noted.Results The mean postoperative follow-up duration was(25.0±6.7)months.The objective and subjective indices including nasolabial angle,nasal bridge length index and subjective perception of nasal appearance changed significantly after rhinoplasty compared to the preoperative values(P<0.01).The total satisfactory rate was 97.8%.In one patient,the implant was taken out in 10 days after surgery because of infection.Other patients had no complications.Conclusion The application of porous high-density polyethylene in nasal lengthening plastic surgery can improve the plastic effect and reduce the incidence of complications.It is worthy of clinical promotion.

关 键 词：鼻延长 高密度多孔聚乙烯材料 并发症 

分 类 号：R622[医药卫生—整形外科]