自體肋軟骨聯合硅膠假體在短鼻畸形修復中的應用研究

張慶衛 王成元 張順生

[摘要]目的：探討自體肋軟骨聯合硅膠假體在短鼻畸形修復中的應用研究。方法：選擇2015年2月-2017年3月筆者醫院接診的110例短鼻畸形患者進行研究，通過隨機數表法分為觀察組（58例）和對照組（52例），對照組采用硅膠假體修復，觀察組在對照組的基礎上聯合自體肋軟骨修復。比較兩組手術情況、鼻修復效果、滿意度及并發癥情況。結果：觀察組修復成功率高于對照組，手術時間長于對照組[100.00% vs 92.31%，（89.73±11.05）min vs（56.60±5.28）min]，差異有統計學意義（P<0.05）;觀察組術后12個月時鼻根高、鼻面角、鼻尖角均高于對照組[（6.21±0.38）mm vs（5.89±0.35）mm，（28.30±2.15）° vs（26.74±2.06）°，（89.25±3.03）° vs（87.01±2.85）°]，差異有統計學意義（P<0.05）。觀察組患者滿意率高于對照組（100.00% vs 92.31%），術后并發癥總發生率低于對照組（3.45% vs 15.38%），差異有統計學意義（P<0.05）。結論：自體肋軟骨聯合硅膠假體在短鼻畸形修復中效果顯著，能有效改善鼻部形態，術后維持效果好，且可減少并發癥發生，患者滿意度高，值得在臨床應用中推廣。

[關鍵詞]短鼻畸形;鼻整形術;自體肋軟骨;硅膠假體;療效;并發癥

[中圖分類號]R622 ? ?[文獻標志碼]A ? ?[文章編號]1008-6455（2020）03-0035-04

Abstract： Objective ?To explore the application of autogenous costal cartilage combined with silica gel prosthesis in the repair of short nose deformity. Methods ?110 patients with short nose deformity who were admitted to our hospital from February 2015 to March 2017 were selected for study. They were divided into the observation group （58 cases） and the control group （52 cases） by random number table method. The control group was treated with silicone prosthesis. The observation group was treated with autogenous costal cartilage on the basis of the control group. The operation condition， nasal repair effect， satisfaction and complications were compared between the two groups. Results ?The success rate of the observation group was higher than that of the control group， and the operation time was longer than that of the control group[100.00% vs 92.31%， （89.73±11.05） min vs （56.60±5.28）min]， the differences were statistically significant （P<0.05）. The nasal root height， nasal facial angle and nasal tip angle of the observation group were higher than those of the control group at 12 months after operation[（6.21±0.38）mm vs （5.89±0.35）mm， （28.30±2.15）° vs （26.74±2.06）°， （89.25±3.03）° vs （87.01±2.85）°]， the differences were statistically significant （P<0.05）. The patients satisfaction rate of observation group was higher than that of control group （100.00% vs 92.31%， P<0.05）. The total incidence of postoperative complications in the observation group was lower than that in the control group （3.45% vs 15.38%， P<0.05）. Conclusion ?The effect of autogenous costal cartilage combined with silica gel prosthesis in the repair of short nose deformity is remarkable， it can effectively improve the shape nose， the maintenance effect is good， and can reduce the occurrence of complications， it is worthy of promotion in clinical application.