PNAM治疗对单侧完全性唇裂术后效果的影响  

Influence of Presurgical Nasoalveolar Molding on Postoperative Results of Unilateral Complete Cleft Lip

作　　者：刘晓琳 郑谦[2] 李承浩[2] 石冰[2] 杨超[2] LIU Xiaolin;ZHENG Qian;LI Chenghao;SHI Bing;YANG Chao(Oral and Maxillofacial Surgery, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;State Key Laboratory of Oral Disease & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.)

机构地区：[1]河北医科大学口腔医学院·口腔医院口腔颌面外科,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心,河北石家庄050017 [2]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院,四川成都610041

出　　处：《口腔医学研究》2021年第10期919-923,共5页Journal of Oral Science Research

基　　金：河北省医学科学研究课题计划(编号:20191067);河北医科大学自然科学领域青年科技人才支持计划(春雨计划)(编号:CYQD201831)。

摘　　要：目的:评估PNAM治疗对一期单侧完全性唇腭裂患者,术后鼻唇畸形整复效果的影响。方法:共收集66例一期单侧完全性唇腭裂患者,PNAM组32例、对照组34例,分别拍摄术后即刻、术后半年、术后1年及1年以上的照片,测量鼻唇部对称指数,采用SPSS 22.0统计软件进行数据分析。结果:术后即刻,仅鼻尖对称指数(P=0.015)、鼻底对称指数(P=0.016)有统计学差异;术后半年,仅鼻尖对称指数(P=0.011)有统计学差异;术后1年,仅鼻小柱对称指数(P=0.021)有统计学差异;1年以上,各指数均无统计学差异。结论:PNAM治疗,可提高一期单侧完全性唇腭裂患者,唇裂术后鼻畸形整复的短期效果,但1年以后鼻部有复发趋势。Objective:To evaluate the effect of presurgical nasoalveolar molding(PNAM)treatment on patients with one-stage unilateral complete cleft lip and palate.Methods:A total of 66 patients with one-stage unilateral complete cleft lip and palate,including 32 patients in PNAM group and 34 patients in control group,were taken photos immediately after operation,six months after operation,one year after operation,and more than one year after operation.The symmetry index of nose and lip was measured.Results:Immediately after operation,only the nasal tip symmetry index(P=0.015)and the nasal base symmetry index(P=0.016)had statistical differences.Half a year after operation,only the nasal tip symmetry index(P=0.011)had statistical difference.One year after operation,only the symmetry index of columella nasi(P=0.021)had statistical difference.For more than one year,there was no statistical difference in each index.Conclusion:PNAM treatment can improve the short-term effect of nose deformities in patients with one-stage unilateral complete cleft lip and palate after primary cheiloplasty,however,the nose tends to recur one year later.

关 键 词：术前正畸 PNAM 单侧完全性唇腭裂 唇裂整复术 

分 类 号：R78[医药卫生—口腔医学]