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

Clinical Study on Application of Abbe Flap with Vascular Pedicle in Repairing the Secondary Deformity of Bilateral Cleft Lip

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。

Objective：To study the methods and clinical effects of Abbe flap with vascular pedicle repairing the secondary defects of the bilateral cleft lip.Methods：Ten patients with the secondary defects of the bilateral cleft lip were selected.They were corrected using Abbe flap with vascular pedicle by the same surgeon.Six indexes of the nasal labial ministry before and after surgery were measured,the nasolabial symmetry was compared,and the clinical effects were assessed.Results：The patients all achieved primary healing after surgery.The length of the philtrum increased 3.93 mm averagely,and the width of the philtrum decreased 3.93 mm averagely after surgery.The width of nose decreased 1.69 mm averagely,and the symmetry rate of the lip got 97.29% postoperatively.The patients all got good recovery after surgery.Conclusion：The Abbe flap with vascular pedicle can significantly improve the nasolabial shape and symmetry to correct the secondary defects of the bilateral cleft lip.