改良单侧唇裂修复方法的探讨

发布时间：2019-05-22 18:03

【摘要】：目的：探讨改良修复单侧唇裂的手术方法,减少手术疤痕,同时,将疤痕设计在轮廓线上,进一步提高单侧唇裂手术的整复效果。方法：通过对20例单侧唇裂患者,运用一种新的单侧唇裂整复术术式,将手术切口疤痕变为直线,同时,将手术切口设计在人中嵴的轮廓线上,使患儿恢复上唇的正常解剖结构,并且尽可能减少术后疤痕,对传统的术式进行改良。术后7天拆线,标准术前、术后相片对比,并进行门诊随访,标准随访照片。结果：本组20个病例无局部感染、出血、复裂者,切口均Ⅰ期愈合。术后随访时间最短1个月,最长6个月,平均4个月。结果示唇弓线连续性良好,形态对称,疤痕不明显,外观恢复良好。结论：这种改良方法定点及切口设计简单,手术后疤痕少,且在轮廓线上,手术后对称性好,能最大程度恢复术者鼻唇外观,手术效果满意,是一种可行的单侧唇裂修复术的改良方法。
[Abstract]:Objective: to explore the improved method of unilateral lip repair, to reduce the surgical scar, and to design the scar on the outline line, so as to further improve the effect of unilateral lip surgery. Methods: 20 patients with unilateral lip fissure were treated with a new unilateral lip repair method, and the scar of the incision was changed into a straight line. At the same time, the incision was designed on the outline line of the human middle ridge. The normal anatomical structure of the upper lip was restored, the postoperative scar was reduced as much as possible, and the traditional operation was improved. 7 days after operation, standard preoperative and postoperative photos were compared, and outpatient follow-up and standard follow-up photos were carried out. Results: there was no local infection, bleeding, recurrent rupture and primary wound healing in 20 cases. The follow-up time was 1 month and 6 months, with an average of 4 months. The results showed that the continuity of labial arch line was good, the morphology was symmetrical, the scar was not obvious, and the appearance recovered well. Conclusion: this improved method has the advantages of simple fixed point and incision design, less scar after operation, and good symmetry after operation on the profile. it can restore the appearance of nose and lip to the greatest extent, and the operation effect is satisfactory. It is a feasible improved method for unilateral lip repair.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.2

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