单侧唇裂患者的鼻唇部石膏模型测量研究

Anthropometric Study of Surface Characteristic of Lip Nasal of Subjects in Unilateral Cleft Lip Patients with the Nasal-labial Plaster Models

目的利用面部石膏模型测量单侧一期唇裂修复术并鼻畸形开放矫正术的唇腭裂患儿术前、术后鼻唇部畸形特征及并评价其恢复效果。方法给予病例患儿制取手术前、后的鼻唇部石膏模型,进行相关项目的测量。利用SPSS 11.5统计软件进行数据结果比对分析。结果通过对石膏模型的直接测量统计分析得出:1)Ⅱ度唇裂患儿除鼻孔高外,其他指标术前健侧、患侧比较差异均有统计学意义(P均<0.05)。经过一期手术后,鼻翼口角距及鼻翼长度,患侧、健侧比较差异仍有统计学意义(P均<0.05),其余对称性指标差异性消失。手术前后非对称性指标除鼻尖角外差异有统计学意义(P均<0.05)。2)与Ⅱ度唇裂患儿相比,Ⅲ度唇裂患儿鼻唇畸形特征更加明显,所有测量指标术前健侧、患侧比较差异均有统计学意义(P均<0.05)。经过一期手术后,鼻翼基部长度及鼻翼长度,患侧、健侧比较差异仍有统计学意义(P均<0.05),其余对称性指标差异性消失。手术前后非对称性指标差异均有统计学意义(P均<0.05)。结论利用石膏模型测量唇腭裂患儿术前、后鼻唇部畸形特点具有简便易行、效果精确、无损伤且可多次重复测量的优点。

Objective To measure the surface characteristic of lip nasal of subjects in unilateral cleft lip patients and to analyze the pre-operative and post-operative effects.Methods The nasal-labial plaster models before and after the preliminary cleft lip repair were established in 198 patients with unilateral cleft lip. The facial basic measurement indexes of anthropometry were measured three times with Farkas direct measurement method of maxillofacial anthropometry,and then took an average.Results 1)In incomplete unilateral cleft lip group, compared the indexes of anthropometry before and after operation,all indexes except the height of the nostril, were significant difference(P<0.05);the non-cleft and cleft side indexes were significant difference(P<0.05). 2)In complete unilateral cleft lip group,the indexes were significant difference(P<0.05)between the non-cleft and cleft side during pre-operation and post-operation. The correlation analysis of measurements in cleft lip group showed that there were significantcorrelation among several indexes(P<0.05).Conclusion The method we applied in nasal-labial plaster models to measure the surface characteristic of lip nasal of subjects in unilateral cleft lip patients was simple,non-invasive and repeated measurements. It could be helpful to clinical treatment.