旋转推进与其改进法修复单侧完全性唇裂唇高效果对比研究

Comparison of two methods in complete unilateral cleft lip repair and lip height restoration

目的对比分析旋转推进与其改进法修复单侧完全性唇裂唇高恢复情况,为临床单侧完全性唇裂的治疗提供依据。方法选取2007—2010年中国医科大学口腔医学院口腔颌面外科收治的单侧完全性唇裂患儿60例,随机分为2组,每组30例。第一组采用旋转推进法进行手术修复,第二组采用在第一组手术方法基础上,在唇红上方设计一小三角瓣的改进法进行手术修复。两组患儿分别在手术后6个月复查,测量每名患儿健、患侧唇高并计算其差值,再进行两组对比。结果两组患儿手术完成即刻唇高差异无统计学意义(P>0.05);6个月后复查,两组健侧、患侧唇高的差异亦均无统计学意义(P>0.05),但两组间健-患侧唇高差的比较差异有统计学意义(P<0.05)。结论在修复单侧完全性唇裂初期手术时,增加皮肤小三角瓣,可减小瘢痕挛缩的程度,保持两侧唇峰高度对称,保证唇裂术后的远期效果良好。

Objective By using two different methods of unilateral complete deft lip repair, and 6 months after surgery, respectively, were compared in order to compare the recovery of the affected side lip height there arc no significant differences. Methods Sixty children with unilateral complete cleft lip in were selected, 30 patients in each group. The first group was treated with rotation method, the second group was made a small triangular vermilion flap in addition to the treatment for the first group. Two groups of patients, after surgery, respectively, in 6 months, were measured lip height and the difference calculated, and then compare the two groups, the data for statistical analysis. Results In the first group immediate total figures of the health and trouble side lip height standard deviation difference was big; in the second group immediate total figures of the health and trouble side lip height standard deviation difference was minimum. Thus it can be seen that the surgery method second group of surpassed surgery method first group of obviously. Conclusion In early repair of unilateral complete cleft lip surgery, with small triangular flaps of skin, you can reduce the degree of scar contracture, maintain a high degree of symmetry on both sides of lip peak, ensure good long-term effect after the surgery of clleft lip.