PNAM治疗对单侧完全性唇裂术后效果的影响

Influence of Presurgical Nasoalveolar Molding on Postoperative Results of Unilateral Complete Cleft Lip

目的:评估PNAM治疗对一期单侧完全性唇腭裂患者,术后鼻唇畸形整复效果的影响。方法:共收集66例一期单侧完全性唇腭裂患者,PNAM组32例、对照组34例,分别拍摄术后即刻、术后半年、术后1年及1年以上的照片,测量鼻唇部对称指数,采用SPSS 22.0统计软件进行数据分析。结果:术后即刻,仅鼻尖对称指数(P=0.015)、鼻底对称指数(P=0.016)有统计学差异;术后半年,仅鼻尖对称指数(P=0.011)有统计学差异;术后1年,仅鼻小柱对称指数(P=0.021)有统计学差异;1年以上,各指数均无统计学差异。结论:PNAM治疗,可提高一期单侧完全性唇腭裂患者,唇裂术后鼻畸形整复的短期效果,但1年以后鼻部有复发趋势。

Objective:To evaluate the effect of presurgical nasoalveolar molding(PNAM)treatment on patients with one-stage unilateral complete cleft lip and palate.Methods:A total of 66 patients with one-stage unilateral complete cleft lip and palate,including 32 patients in PNAM group and 34 patients in control group,were taken photos immediately after operation,six months after operation,one year after operation,and more than one year after operation.The symmetry index of nose and lip was measured.Results:Immediately after operation,only the nasal tip symmetry index(P=0.015)and the nasal base symmetry index(P=0.016)had statistical differences.Half a year after operation,only the nasal tip symmetry index(P=0.011)had statistical difference.One year after operation,only the symmetry index of columella nasi(P=0.021)had statistical difference.For more than one year,there was no statistical difference in each index.Conclusion:PNAM treatment can improve the short-term effect of nose deformities in patients with one-stage unilateral complete cleft lip and palate after primary cheiloplasty,however,the nose tends to recur one year later.