自体肋软骨移植联合硅胶隆鼻的临床效果观察  

Clinical effect observation of autologous costal cartilage transplantation combined with silicone rhinoplasty

作　　者：杨瑞国 Yang Rui-guo(Department of Cosmetology,Jinshui Angerun Medical Cosmetology Clinic,Zhengzhou 450000,China)

机构地区：[1]金水安格润医疗美容门诊部美容科,河南郑州450000

出　　处：《四川生理科学杂志》2024年第9期2016-2019,共4页

摘　　要：目的:探讨自体肋软骨移植联合硅胶隆鼻的临床效果。方法:选择2020年8月至2023年3月期间本院收治且拟行鼻部美容整形修复治疗者80例作为研究对象。按随机数字表法将患者分为对照组和观察组,每组各40例。对照组行硅胶隆鼻治疗;观察组行自体肋软骨移植联合硅胶隆鼻治疗。分析比较两组的伤口愈合程度、鼻尖突出度、鼻部外形、对整形外观满意度、鼻整形效果、生活质量以及并发症。结果:观察组的伤口愈合效果显著优于对照组(P<0.05)。术后,两组的鼻尖突出度均高于术前,且观察组的鼻尖突出度显著高于对照组(P<0.05)。术后,两组的鼻孔形态、鼻尖形态、鼻背形态、鼻尖位置、鼻底外形各项鼻部形态评分均低于术前,且观察组的各项鼻部形态评分均显著低于对照组(P<0.05)。观察组的整形外观总满意度显著高于对照组(P<0.05)。术后,两组的鼻整形效果评分高于术前,生活质量评分低于术前,且观察组的鼻整形效果评分显著高于对照组,生活质量评分显著低于对照组(P<0.05)。观察组的并发症发生率显著低于对照组(P<0.05)。结论:硅胶隆鼻中联合使用自体肋软骨移植可提高伤口愈合效果,减少并发症,提高鼻尖突出度,改善鼻部外形,提高患者生活质量、鼻整形效果及其对整形外观满意度。Objective:To investigate the clinical effect of autologous costal cartilage transplantation combined with silicone rhinoplasty.Methods:80 patients who were admitted to our hospital fromAugust 2020 to March 2023 and planned to undergo cosmetic plastic repair of nose were selected as the study objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received silicone rhinoplasty;The observation group was treated with autogenous rib cartilage transplantation combined with silicone rhinoplasty.The wound healing degree,nasal tip protrusion,nasal appearance,satisfaction with cosmetic appearance,nasal cosmetic effect,quality of life and complications of the two groups were analyzed and compared.Results:The wound healing effect of the observation group was significantly better than that of the control group(P<0.05).After operation,the nasal tip protrusion of both groups was higher than that before operation,and the observation group was significantly higher than the control group(P<0.05).After operation,the nasal shape scores of nostril shape,nasal tip shape,nasal dorsum shape,nasal tip position and nasal base shape were all lower than before operation,and the scores of observation group were significantly lower than control group(P<0.05).The total satisfaction of cosmetic appearance in the observation group was significantly higher than that in the control group(P<0.05).After surgery,the score of rhinoplasty effect was higher than before surgery,and the score of quality of life was lower than before surgery,and the score of rhinoplasty effect of observation group was significantly higher than that of control group,and the score of quality of life was significantly lower than that of control group(P<0.05).The complication rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:Silicone nasal augmentation combined with autologous rib cartilage transplantation can improve wound heali

关 键 词：鼻部美容整形修复 自体肋软骨移植 鼻尖突出度 硅胶隆鼻术 生活质量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]