唇裂术后红唇畸形的修复

Lip flaps for correction of vermilion deficiency after cleft lip repair.

目的:总结不同方法修复唇裂术后红唇畸形的临床应用经验。方法:分析1998年1月至2004年12月期间在我科住院的96例红唇畸形患者的治疗效果,比较不同修复方法的优缺点和适应症。结果:直线缝合法11例,随访8例,自感满意者5例(62%);交叉三角瓣法24例,随访18例,自感满意者14例(77%);下唇瓣法10例,随访7例,自感满意者6例(86%);单侧红唇瓣法24例,随访19例,自感满意者17例(89%);双侧红唇瓣法27例,随访20例,自感满意者19例(95%).结论:本组采用的几种方法均可用于唇裂术后红唇畸形的修复,但实用范围有所不同并各有优缺点,而以双侧红唇瓣法的实用范围最广、优点最多、缺点较少。

Objective To make a summary of the clinical experiences of Lip flaps for correction of vermilion deficiency after cleft lip repair. Methods Plerosis effects of various techniques for correction of vermilion deficiency after cleft lip repair on the patients between 1998.1 and 2004.12 in our hospital have been analysed. Results 11 cases were repaired with direct suture, 8 cases of them were followed and 5 cases of them feel satisfaction （62%）. 24cases were repaired with cross-lip flap, 18 cases of them were followed and 14 cases of them feel satisfaction （77%）. 10 cases were repaired with lower lip, 7 cases of them were followed and 6 cases of them feel satisfaction（86%）. 24 cases were repaired with one side lip flap, 19 cases of them were followed and 17 cases of them feel satisfaction（89%）. 27 cases were repaired with two side lip flaps, 20 cases of them were followed and 19 cases of them feel satisfaction （95%）. Conclusion Vermilion deficits can be corrected with various methods. The most excellent technique for correction of upper-lip vermilion deficits is two side lip flap.