华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果比较

Comparison of surgical effects between the modified West China method and Millard method in repairing unilateral cleft lip

目的本研究旨在比较华西改良旋转推进法与Millard旋转推进法整复单侧唇裂的手术效果。方法共收集34例单侧唇裂患者,试验组16例,对照组18例,分别采用华西改良旋转推进法和Millard旋转推进法,对术前、术后照片进行测量,采用SPSS 21.0进行统计学分析。结果试验组术后健、患侧鼻翼基部点(sba)、鼻翼点(al)、唇峰点(cph)、口角点(ch)对称性差异无统计学意义(P>0.05),对照组术后健、患侧cph、ch对称性差异无统计学意义(P>0.05);试验组和对照组sba、cph、ch的对称率及鼻小柱中点回归率差异无统计学意义(P>0.05),试验组al对称率高于对照组(P<0.05)。结论对单侧唇裂整复,两种方法对唇部整复效果均较好,但华西改良旋转推进法比传统Millard旋转推进法对鼻部对称性的改善更好。

Objective The purpose of this study is to compare the surgical effects of the modified West China method and Millard methods for repairing unilateral cleft lip.Methods A total of 34 cases of unilateral cleft lip were analyzed,composed of 16 cases in the experimental group subjected to the modified West China method and 18 cases in the control group,which was subjected to the Millard method.Photographs before and after operation were compared,and SPSS 21.0 was used in statistical analysis.Results After operation,no significant difference in symmetry between the healthy and affected sides of the nasal alar foot(sba),nasal alar point(al),lip peak point(cph),and mouth angle point(ch)in the experimental group(P>0.05),but no significant difference in symmetry was found between healthy and affected sides of cph and ch in the control group(P>0.05).No significant differences in the symmetry rates of the sba,cph,ch and the nasal columella regression rates were found between the experimental and control groups(P>0.05).The symmetry rates of the al in the experimental group were higher(P<0.05).Conclu⁃sion For unilateral cleft lip repair,two methods had better effects on lip repair,but the nasal symmetry showed greater improvement when the modified West China method was used than when the Millard method was used.