应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形的临床研究

发布时间：2019-07-17 13:36

【摘要】：目的:探讨应用保留血管蒂Abbe瓣修复双侧唇裂患者术后继发鼻唇畸形的方法及其临床效果。方法:选取双侧唇裂术后继发鼻唇畸形患者10例,由同一医师应用保留血管蒂Abbe瓣对其进行修复,测量术前术后患者鼻唇部的6项指标并分析,评估患者术后的效果及鼻唇部对称性。结果:患者术后均一期愈合,术后人中长度平均增加3.93mm,人中宽度平均降低3.93mm,全鼻宽平均降低1.69mm,有显著统计学差异,上唇对称率达到97.29%,患者术后唇鼻外形恢复良好,接近正常。结论:应用保留血管蒂Abbe瓣修复双侧唇裂术后继发畸形效果良好,可以显著改善唇鼻形态和对称性,适合广泛应用于临床。
[Abstract]:Objective: to investigate the method and clinical effect of using vascular pedicle Abbe flap to repair secondary nasal lip deformity in patients with bilateral lip fissure. Methods: ten patients with secondary rhinolabial deformity after bilateral lip surgery were repaired by the same physician with vascular pedicle Abbe flap. Six indexes of nasolabial region were measured and analyzed before and after operation to evaluate the postoperative effect and symmetry of nasolabial region. Results: all the patients healed in one stage after operation. The average length of the patient increased by 3.93 mm, the width of the man decreased by 3.93 mm, and the width of the whole nose decreased by 1.69 mm, there was significant difference. The symmetry rate of the upper lip reached 97. 29%. The shape of the lip and nose recovered well and approached normal after operation. Conclusion: the application of vascular preservation Abbe flap in the repair of secondary deformity after bilateral lip surgery is effective, which can significantly improve the morphology and symmetry of lip and nose, and is suitable for clinical application.
【作者单位】：武汉大学口腔医院口腔颌面外科;
【基金】：国家自然科学基金青年基金(编号:30901684) 武汉市唇腭裂序列治疗临床医学研究中心(编号:304230100041)
【分类号】：R782.2

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