单侧唇裂初期修复术的效果评价  

Evaluation of the effectiveness of initial repair surgery for unilateral cleft lip

作　　者：赵盼[1] 马志强[1] 李娟 ZHAO Pan;MA Zhi-qiang;LI Juan(Department of Plastic Surgery and Cosmetology,First Affiliated Hospital of Henan University,Henan Province,475000,China;Department of Stomatology,First Affiliated Hospital of Henan University,Henan Province,475000,China)

机构地区：[1]河南大学第一附属医院整形美容科,河南郑州475000 [2]河南大学第一附属医院口腔科,河南郑州475000

出　　处：《中国医疗美容》2024年第3期18-23,共6页China Medical Cosmetology

摘　　要：目的探讨单侧唇裂初期修复术对先天性唇裂患者疗效以及美学满意度、面部软组织指标的影响。方法以2021年2月-2023年3月我院收治的69例先天性唇裂患者作为研究对象,给予单侧唇裂初期修复术,观察患者满意度、术后不良反应、上颌骨生长发育水平等情况。结果治疗后,上颌骨生长发育指标显著低于治疗前(P﹤0.05)。术后,患者患侧鼻孔宽度、健侧鼻孔宽度、患侧鼻孔高度、患侧鼻孔面积均显著优于术前数据(P﹤0.05)。术后,患者患侧鼻孔宽度、健侧鼻孔宽度、患侧鼻孔高度、患侧鼻孔面积均显著优于术前数据(P<0.05)。术后患者各个分数的NOSE鼻阻塞评分情况均显著优于术前,术后NOSE鼻阻塞评分明显低于术前(P﹤0.05)。结果显示,69例患者术后共发生喉头水肿1例(1.45%),术后愈合不良1例(1.45%),总并发症发生率为2.90%。结论通过应用单侧唇裂初期修复术可提高先天性唇裂患者治疗临床疗效及面部软组织指标,改善患者畸形情况,且安全可靠。Objective To explore the effects of initial unilateral cleft lip repair surgery on the efficacy,aesthetic satisfaction,and facial soft tissue indicators of patients with congenital cleft lip.Methods A total of 69 patients with congenital cleft lip admitted to our hospital from February 2021 to March 2023 were selected as the study subjects.Unilateral cleft lip repair surgery was performed at the initial stage,and patient satisfaction,postoperative adverse reactions,and maxillary growth and development were observed.Results After treatment,the growth and development indicators of the maxilla were significantly lower than before treatment(P<0.05).After surgery,the width of the affected nostril,the width of the healthy nostril,the height of the affected nostril,and the area of the affected nostril were significantly better than preoperative data(P<0.05).After surgery,the width of the affected nostril,the width of the healthy nostril,the height of the affected nostril,and the area of the affected nostril were significantly better than preoperative data(P<0.05).The NOSE nasal obstruction score of postoperative patients was significantly better than preoperative scores,and the NOSE nasal obstruction score was significantly lower than preoperative scores(P<0.05).A total of 69 patients experienced postoperative laryngeal edema in 1 case(1.45%)and poor postoperative healing in 1 case(1.45%),with a total complication rate of 2.90%.Conclusion The application of unilateral cleft lip initial repair surgery can improve the clinical efficacy and facial soft tissue indicators of congenital cleft lip patients,improve the patient's deformity situation,and is safe and reliable.

关 键 词：单侧唇裂初期修复术 先天性唇裂 疗效 美学满意度 面部软组织指标 

分 类 号：R782.21[医药卫生—口腔医学]