自体肋软骨鼻整形术中防止鼻背偏曲的方法

发布时间：2018-03-22 22:31

  本文选题：鼻整形术　切入点：肋软骨　出处：《大连医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨自体肋软鼻综合整形术中避免鼻背肋软骨偏曲的方法。对不同处理方式的手术效果进行评价。方法:从2014年12月到2016年1月米兰柏羽整形医院应用手风琴技术的85例鼻综合整形患者中随机选取年龄介于18岁到35岁之间的女性30例。平均年龄25.45岁。从2013年12月到2014年10月米兰柏羽整形医院应用同心圆法的91例鼻综合整形患者中随机选取年龄介于18岁到35岁之间的女性30例。平均年龄26.78岁。本研究分别于术前、术后1周、2周、1个月、3个月、6个月,采用优化平面拍照测量法,对照片进行标准化摄取,使用Photoshop CS和IPP图像处理软件(Image-Pro Plus 6.0)精确测量每张照片的弯曲度。6个月后采用电话随访形式。观察对比疗效,再经手术医生和患者本人共同评估手术效果,同时观察术后并发症。结果:术后随访12个月,手风琴组有1例稍有偏曲,但无需进行二次修复手术;同心圆组有8例发生偏曲,6例稍有偏曲,2例因发生严重偏曲进行了二次修复手术,有1例因皮肤菲薄导致鼻背部触感较差。结论:自体肋软骨鼻综合整形术中,使用肋软骨表面划痕手风琴技术,获得较满意的效果,并能减少术后并发症的发生。平面照相测量法的优化,可科学、快速、直观地评估鼻部形态、变形程度以及手术修复效果。
[Abstract]:Objective: to explore the method of avoiding deviation of nasal dorsal costal cartilage in comprehensive rhinoplasty with autocostal soft nose. To evaluate the operative effect of different treatment methods. Methods: from December 2014 to January 2016, Peuyu plastic Hospital in Milan applied hand. From 85 patients with organ technique, 30 women aged between 18 and 35 years were randomly selected. The mean age was 25.45 years. From December 2013 to October 2014, 91 cases were treated with concentric circle method at Peuyu plastic Hospital in Milan. Thirty women aged between 18 and 35 years with an average age of 26.78 years were randomly selected from patients with rhinoplasty. After 1 week, 2 weeks, 1 month, 3 months, 6 months. Photoshop CS and IPP image processing software (image-Pro Plus 6.0) were used to accurately measure the curvature of each photograph. After 6 months of follow-up, the therapeutic effect was observed and compared, and the surgical effect was evaluated by the surgeon and the patient. Results: 1 case in accordion group was slightly deviated, but no secondary repair operation was needed. In the concentric circle group, there were 8 cases with slight deviation, 2 cases with severe deviation, 2 cases with secondary repair, and 1 case with poor sense of touch due to thin skin. Conclusion: in the rhinoplasty of autologous costal cartilage, Using the technique of accordion scratching on the surface of costal cartilage, satisfactory results can be obtained, and postoperative complications can be reduced. The optimization of plane photography method can scientifically, quickly and intuitively evaluate the nasal shape. Degree of deformation and effect of surgical repair.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R62
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本文编号：1650726