两种术式修复单侧不完全性唇裂术后即刻效果比较  

Comparison of immediate effects between two surgical methods on repair of unilateral incomplete cleft lip

作　　者：刘珍珍 李媛媛 石冰[1] 李承浩[1] Liu Zhenzhen;Li Yuanyuan;Shi Bing;Li Chenghao(State Key Laboratory of Oral Diseases Research,National Center for Clinical Medical Research of Oral Diseases,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西口腔医院唇腭裂外科,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,成都610041

出　　处：《中华医学美学美容杂志》2022年第3期168-171,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：四川大学华西口腔医院探索与研发项目(LCYJ2019-12)。

摘　　要：目的探讨新旋转推进法与下三角瓣法两种术式修复单侧不完全性唇裂术后效果,优化单侧不完全性唇裂修复技术。方法2013年8月至2016年12月,在四川大学华西口腔医院接受唇腭裂外科治疗不完全唇裂患者27例,男12例、女15例,年龄3个月至31岁,平均3岁7个月。采用两种手术方法对27例单侧不完全性唇裂伴鼻畸形患者进行修复,并对术后鼻唇对称性的效果进行比较。结果27例单侧不完全性唇裂患儿在唇裂修复术后,均获得了较好的术后即刻效果。两种术式在单侧不完全性唇裂伴鼻畸形的鼻唇形态恢复指标比较中,如鼻孔底宽健患侧比(P=0.751)、鼻孔最大高度健患侧比(P=0.155)、鼻孔最大宽度健患侧比(P=0.675)、鼻翼外侧最凸点至面中线距离比(P=0.905)、鼻翼口角距健患侧比(P=0.978)、鼻翼唇峰距健患侧比(P=0.306)、唇峰至面中线距离健患侧比(P=0.100)、唇峰口角距健患侧比(P=0.516)、唇峰点红唇厚度健患侧比(P=0.148),差异均无统计学意义。结论两种术式对鼻唇形态对称性恢复差异无统计学意义。由于新旋转推进法术式把切口引至鼻小柱基部附近,且增加鼻小柱基部组织量有利于稳定术后鼻小柱高度,术后瘢痕隐蔽,更加美观实用。Objective To evaluate the short time outcome about repairing of lateral incomplete cleft lip with two different treatments:new rotation advancement technique and Tennison technique.Methods Twenty-seven cases of lateral incomplete cleft lip were repaired by the two different treatments,and 12 indexes were employed to evaluate the short time outcome of post-operation.Results All the patients who were treated with the new rotation advancement technique and Tennison technique in this study obtained satisfactory lip and nasal symmetry immediately.There was no significant difference between the two techniques in the treatment of the patients with unilateral incomplete cleft lip.Conclusions Though the new rotation advancement technique does not show the obvious improvements about repairing of lateral incomplete cleft lip,invisible incision and keeping the nostril sill will definitely benefit the patients because of reducing the risk of more scars.

关 键 词：唇裂 新旋转推进法 下三角瓣法 单侧唇裂修复术 效果评估 

分 类 号：R782.21[医药卫生—口腔医学]