改良Millard术式对双侧完全性唇裂患儿鼻唇畸形的修复效果研究  

Effect of the Repair of Deformity of Nose and Lip in Children with Bilateral Complete Cleft Lip by Using Modifi ed Millard Procedure

作　　者：王慧敏 张文静[1] WANG Hui-min;ZHANG Wen-jing(Department of Stomatology,Heze Municipal Hospital,Heze 274000,Shandong,China)

机构地区：[1]山东省菏泽市立医院口腔科,山东菏泽274000

出　　处：《中国美容医学》2020年第5期52-55,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究改良Millard术式对双侧完全性唇裂患儿鼻唇畸形的修复效果。方法:将42例双侧完全性唇裂患儿作为观察组,使用改良Millard术式进行治疗;同时收集同年龄段体检正常的42例儿童作为对照组。术后24个月,比较两组研究对象的唇高、唇长、鼻底宽度、鼻小柱高度及家属心理状态。结果:术后,观察组两侧唇高均降低、唇长增加、鼻底宽度缩短、鼻小柱高度增加,差异均具有统计学意义(P<0.05)。两组研究对象的唇长、鼻底宽度比较,均无统计学差异(P>0.05),但两组间唇高、鼻小柱高度比较具有统计学差异(P<0.05)。术后与术前比较,患儿家属的精神病性、躯体化、偏执、强迫症、恐怖、人际关系、敌对症、焦虑评分均降低,差异均具有统计学意义(P<0.05)。结论:改良Millard术式对双侧完全性唇裂患儿鼻唇畸形可有效复位、重建鼻唇部解剖亚单位,同时降低家属心理负担,值得临床推广应用。Objective To explore the repair of deformity of nose and lip in children with bilateral complete cleft lip by using modifi ed Millard procedure.Methods 42 children with bilateral complete cleft lip were collected as the observation group,and 42 children with normal physical examination were collected as control group.The observation group was treated with modifi ed Millard procedure.The height of lip,length of lip,width of nasal fl oor,height of nasal column and psychological status of family members were compared between the two group.24 months after operation,the psychological state of the family members in the observation group was compared before and after treatment.Results Compared with pre-operation,the lip height of both sides decreased,the length of lip increased,the width of nasal fl oor shortened and the height of nasal column increased in the observation group(P<0.05).There was no signifi cant difference in lip length and nasal fl oor width between the two groups(P>0.05),but there were signifi cant differences in lip height and nasal column height between the two groups(P<0.05).After operation,the scores of psychosis,somatization,paranoid ideation,obsessive-compulsive disorder,phobia,interpersonal relationship,hostility and anxiety of children's family in the observation group were signifi cantly lower than those before operation(P<0.05).Conclusion The modifi ed Millard procedure is effective in the repair of deformity of nose and lip in children with bilateral cleft lip.It can be used to reconstruct the anatomic subunits of nasal lip and reduce the psychological burden of family members,which is worthy for clinical promotion.

关 键 词：改良Millard术 双侧完全性唇裂 症状自评量表 解剖亚单位 口轮匝肌 

分 类 号：R782.21[医药卫生—口腔医学]