首页|两种入路修复单侧微小型唇裂手术效果的研究

两种入路修复单侧微小型唇裂手术效果的研究

扫码查看
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.
Study on the effects of two approaches in the repair of unilateral microform cleft lip
Objective:To study the effects of unilateral microform cleft lip repaire by small and internal incision respectively.Meth-ods:This retrospective study was carried out by comparing the measurements of lip form in 42 patients with micro cleft lip before and af-ter operation with internal incision(n=22)and small incision(n=20)respectively.The evaluation was performed using two-dimension-al 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 statis-tically significant(P<0.05).The lip-height ratio and lip-width ratio were close to 1 after surgery.For the philtrum oblique angle,the im-provemet of small incision group was more significant than that of the internal group(preoperation vs 2-year-post operation P=0.002,im-mediate 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.

Microform cleft lipPrimary repairmentInternal incisionSmall incision

韩亚培、郑谦

展开 >

310003 杭州,浙江大学医学院附属第一医院口腔科

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,四川大学华西口腔医院唇腭裂外科

微小型唇裂 初期整复 内切口 小切口

四川大学华西口腔医院探索与研发项目四川大学华西口腔医院探索与研发项目

LCYJ2019-10LCYJ2019-12

2024

实用口腔医学杂志
第四军医大学口腔医学院

实用口腔医学杂志

CSTPCD北大核心
影响因子:0.942
ISSN:1001-3733
年,卷(期):2024.40(5)