两种入路修复单侧微小型唇裂手术效果的研究  

Study on the effects of two approaches in the repair of unilateral microform cleft lip

作　　者：韩亚培 郑谦[2] HAN Yapei;ZHENG Qian(Department of Stomatology,the First Affiliated Hospital,Zhejiang University School of Medicine,China,310003 Hangzhou;Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University,State Key Laboratory of Oral Diseases Research,National Center for Clinical Medical Research of Oral Diseases,Chengdu)

机构地区：[1]浙江大学医学院附属第一医院口腔科,杭州310003 [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唇腭裂外科

出　　处：《实用口腔医学杂志》2024年第5期661-665,共5页Journal of Practical Stomatology

基　　金：四川大学华西口腔医院探索与研发项目(编号:LCYJ2019-10,LCYJ2019-12)。

摘　　要：目的:采用内切口和小切口入路修复微小型唇裂,观察其临床效果。方法:回顾性研究42例微小型唇裂患者术后即刻和术后2年的效果,其中内切口组22例,小切口组20例。采用二维照相图片分析,评价指标包括反映鼻唇区对称性的2个角度值和3个长度比值。采用配对样本t检验和独立样本t检验进行统计学处理。结果:2种切口入路方式进行整复的微小型唇裂,术后即刻和术后2年时鼻小柱偏斜角、鼻底宽度比和人中偏斜角相较于术前均有明显改善(P<0.05),唇高比和唇宽比术后均接近于1。对于人中偏斜角,小切口组改善在和术后2年优于内切口组(组间比较,术前与术后2年比较,P=0.002,术后即刻与术后2年比较,P=0.017)。结论:小切口入路较内切口进行微小型唇裂整复术,可同样有效改善患者的鼻唇对称性,小切口对于人中偏斜角的改善程度更佳。Objective:To study the effects of unilateral microform cleft lip repaire by small and internal incision respectively.Methods:This retrospective study was carried out by comparing the measurements of lip form in 42 patients with micro cleft lip before and after operation with internal incision(n=22)and small incision(n=20)respectively.The evaluation was performed using two-dimensional photographic analysis before,immediate and 2-years-post operation.The statistical significance was analysed using paired sample t test and independent sample t test.Results:The difference between the immediate and 2-year post-operative measurements were statisti cally significant(P<0.05).The lip-height ratio and lip-width ratio were close to 1 after surgery.For the philtrum oblique angle,the improvemet of small incision group was more significant than that of the internal group(preoperation vs 2-year-postoperation P=0.002,immediate postoperation vs 2-year-postoperation P=0.017 respectively).Conclusion:Both internal and small incisions are effective for the repair of unilateral microform cleft lip.The small incision approach is more effective for the improvement of the philtrum oblique angle.

关 键 词：微小型唇裂 初期整复 内切口 小切口 

分 类 号：R782.21[医药卫生—口腔医学]