非吸收材料注射隆鼻的临床效果及并发症分析

Clinical effects and complication of rhinoplasty with non-absorbed materials

目的探讨非吸收材料注射隆鼻的临床效果及并发症。方法选择2010年3月至2016年1月在西南医院整形科和武汉市诠美医学美容门诊隆鼻患者578例,其中非吸收材料注射隆鼻239例(爱贝芙组)、吸收材料注射隆鼻213例(瑞兰组)、硅橡胶假体植入126例(硅胶组),观察比较3组患者在注射与植入后当日及1、3、6、12个月后的临床效果、疗效保持时间以及并发症发生情况。结果 578例患者在手术与注射后即刻鼻外形与轮廓得到明显改善,但植入硅橡胶假体的患者不良反应与并发症相比于瑞兰组和爱贝芙组增多,差异具有极显著性统计学意义(P<0.01)。术后6~12个月,植入硅橡胶假体与吸收材料隆鼻的患者对鼻外形轮廓、美容效果的满意度随时间不断下降(P<0.05),而注射非吸收材料隆鼻的患者仍保持注射时的外形与轮廓,获得满意的效果,明显优于其他2组,差异有极显著性统计学意义(P<0.01)。结论注射隆鼻安全有效,而非吸收材料注射隆鼻更适合亚洲人改善鼻低平的固有结构,且不良反应低。

Objective To explore the clinical effects of injection rhinoplasty with non-absorpted material and prevention of the complications.Methods A total of 578 patinets with rhinoplasty in Interpretation Medical Cosmetic Center of Wuhan City and Southwest Hospital from March 2010 to January 2016 were selected,who included 239 cases injected by absorbed material,213 cases injected by non-absorbed material and 126 cases implanted by silicone prosthesis.Then the clinical effects,curative keeping time and complications of three groups in0,1,3,6 and 12 months after injected or implanted were observed.Results 578 patients of nasal shape and outline were significantly improved immediately after surgery and injection,but the adverse reaction and complication of silicone prosthesis increased more than those of other two groups,the differences were significant（P〈0.01）.While,the nose shape and outline and cosmetic effects of patients by silicone prosthesis or absorbed material postoperated became worse from 6 months to 1 year（P〈0.05）,and the non-absorbed groups had kept much better in the nose shape and outline and the satisfactory effects than the other two groups,the differences were significant（P〈0.01）.Conclusion Injection of rhinoplasty is safe and effective,meanwile the injection rhinoplasty with non-absorbed material is more suitable for Asian with less adverse reaction.