膨體聚四氟乙烯與硅膠假體隆鼻效果比較

高揚 石玉琦 楊興春 邱磊 楊芷

[摘要]目的：比較膨體聚四氟乙烯與硅膠假體隆鼻的臨床效果。方法：選取2016年6月-2018年6月重慶醫科大學附屬第三醫院（捷爾醫院）整形外科收治的60例鼻整形患者為研究對象，膨體聚四氟乙烯隆鼻患者30例為研究組，硅膠假體隆鼻患者30例為對照組。記錄術后3個月和12個月鼻根高、鼻面角、鼻額角、鼻尖角等;統計術后并發癥的發生情況及患者滿意度。結果：對照組術后12個月鼻根高、鼻面角、鼻尖角較術后3個月顯著降低，差異有統計學意義（P<0.05），鼻額角與術后3個月比較差異無統計學意義（P>0.05）;研究組術后12個月鼻根高、鼻面角、鼻額角、鼻尖角與術后3個月比較，差異無統計學意義（P>0.05）;且研究組術后12個月鼻根高、鼻面角、鼻尖角顯著高于對照組（P<0.05），鼻額角與對照組比較差異無統計學意義（P>0.05）。研究組并發癥總發生率為6.66%顯著低于對照組的33.33%，且研究組患者滿意度為90.00%顯著高于的對照組53.33%，差異有統計學意義（P<0.05）。結論：膨體聚四氟乙烯隆鼻效果優于硅膠假體。

[關鍵詞]鼻整形;膨體聚四氟乙烯;硅膠假體;鼻形;并發癥

[中圖分類號]R622 ? ?[文獻標志碼]A ? ?[文章編號]1008-6455（2019）12-0039-03

Comparison of Augmentation Rhinoplasty Effect between Expanded Polytetrafluoroethylene and Silicone Prosthesis

GAO Yang，SHI Yu-qi，YANG Xing-chun，QIU Lei，YANG Zhi

[Skin Plastic and Beauty Center，Third Affiliated Hospital of Chongqing Medical University（Jell Hospital），Chongqing 401120，China]

Abstract： Objective ?To compare of the clinical effect of expanded polytetrafluoroethylene and silicone prosthesis in augmentation rhinoplasty. Methods ?From June 2016 to June 2018， 60 cases of rhinoplasty patients were treated in the plastic surgery department of the Third Affiliated Hospital of Chongqing Medical University （Jieer Hospital）. 30 patients with expanded polytetrafluoroethylene were in the study group and 30 patients with silicone prosthesis were in the control group. The nasal root height， nasofacial angle， nasofacial angle， nasofacial angle and nasal tip angle were recorded at 3 and 12 months after operation， and the incidence of complications and patients' satisfaction were counted. Results ?In the control group， 12 months postoperatively， the nasal root height， nasal facial angle and nasal tip angle were significantly lower than 3 months postoperatively（P<0.05）， and there was no significant difference between the nasal frontal angle and the postoperative 3 months（P>0.05）. In the study group， 12 months postoperatively， there was no significant difference in the height of the nasal root， the angle of the nose surface， the angle of the nose frontal and the angle of the nose tip compared with 3 months postoperatively（P>0.05）. 12 months after operation， the height of nasal root， the angle of nasal surface and the angle of nasal tip in the study group were significantly higher than those in the control group（P<0.05）， and there was no significant difference between the nasal frontal angle and the control group（P>0.05）. The total incidence of complications in the study group was 6.66%， which was significantly lower than that in the control group （33.33%， P<0.05）. The patients' satisfaction in the study group was 90.00%， which was significantly higher than that in the control group（53.33%， P<0.05）. Conclusion ?The augmentation rhinoplasty effect of expanded polytetrafluoroethylene is better than that of silicone prosthesis.

key words： augmentation rhinoplasty; expanded polytetrafluoroethylene; silicone prosthesis; nasal shape; complication

膨體聚四氟乙烯具有良好的柔韌性，常應用于醫療整形中，其內里是多孔結構，可以長入其他組織，固定效果良好，體外生物相容性好，理化性質穩定，并未發現有明顯排斥現象，且經過臨床試驗，已證實其安全性與可靠性[1]。硅膠是國內外當前最為普遍使用的整形材料，手術后外觀完美，且該材料化學性能較為穩定，對人體的刺激性也小，不易老化，適合作為長久使用的材料[2]。近年來，隨著人們對面部美觀的追求，鼻整形開始盛行[3-4]，鼻整形手術填充材料的合理使用對術后效果影響較大，本研究針對膨體聚四氟乙烯與硅膠兩種填充材料在鼻整形術中的應用效果進行比較，以期為臨床填充材料的選擇提供參考。