继发唇裂鼻畸形修复前后患者满意度问卷调查  

Comprehensive evaluation of postoperative morphological and functional satisfaction of secondary cleft lip rhinoplasty in Chinese Han population

作　　者：廖媛 王白成 金梦颖 甄永环 潘柏林[1] 薛红宇[1] 李东[1] 赵振民 安阳[1] Liao Yuan;Wang Baicheng;Jin Mengying;Zhen Yonghuan;Pan Bolin;Xue Hongyu;Li Dong;Zhao Zhenmin;An Yang(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院成形外科,北京100191

出　　处：《中华医学美学美容杂志》2022年第3期172-176,共5页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：北京大学第三医院临床重点项目(BYSYZD2019013)。

摘　　要：目的问卷调查唇裂鼻修复术前后患者的满意度,评估术后患者鼻外形、症状、心理负担的改善情况。方法2016年4月至2020年7月,北京大学第三医院成形外科对唇裂鼻畸形修复手术患者23例[男13例、女10例,年龄16~31(23.48±4.96)岁],通过半自主改良的问卷调查患者术前后变化,使用问卷星应用收集数据,对数据整理后用SPSS 20.0进行统计分析。结果随访平均28.9个月,术前隆鼻评估满意度总分46.74分,术后达63.04分,术前后比较差异有统计学意义(t=4.10,P<0.01);鼻形态自我评分均在术后显著提升。视觉模拟量表中通气功能术前后差异无统计学意义(P>0.05)。鼻堵塞程度和心理问卷中,鼻症状和心理状态,如鼻塞、尴尬、沮丧/不安/易怒等均显著改善。结论半自主改良问卷能较好地评估继发唇裂鼻畸形患者鼻修复术前后满意度、鼻形态及功能。唇裂鼻修复手术方式能改善患者鼻外观、鼻堵塞症状,同时减轻心理负担。Objective To evaluate the improvement of nasal appearance,symptoms and psychological burden in patients with secondary cleft rhinoplasty by using retrospective research methods,through preoperative and postoperative questionnaires.Methods Twenty-three cleft lip patients that underwent surgery in our unit since April 2016 were enrolled in this study.The self-designed questionnaire was used to explore the changes of patients before and after the operation.The questionnaire star was utilized to collect the data,and after the data was sorted and summarized,SPSS 20.0 was used for analysis and statistics.Results The average follow-up time was 28.9 months.The total score of ROE satisfaction before surgery was 46.74 points,while after surgery it reached 63.04 points(t=4.10,P<0.01);the self-scores of nasal shape were significantly improved after surgery;but there was no significant change in the ventilation function in the VAS scale before and after the operation;the nasal symptoms and psychological status in the SNOT-22 questionnaire,such as,nasal congestion,embarrassment,depression,restlessness and irritability,were significantly improved(P<0.05).Conclusions Our semi-autonomous designed questionnaire can be used to effectively evaluate the satisfaction,nasal shape,and symptoms of patients with nasal deformity secondary to cleft lip.Data analysis shows that our secondary cleft lip rhinoplasty for cleft lip and palate can improve patients′satisfaction after the repair,as well as nose shape and function,at the same time the psychological burden caused by it.

关 键 词：唇裂 腭裂 鼻修复 量表分析 隆鼻结果评估问卷 

分 类 号：R782.21[医药卫生—口腔医学] R765.9[医药卫生—临床医学]