中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2009年
5期
325-327
,共3页
梯度旋转下降法%唇裂
梯度鏇轉下降法%脣裂
제도선전하강법%진렬
Method of rotation descent step by step%Cleft lip
目的 探讨梯度旋转下降法修复单侧完全性唇裂的临床效果.方法 应用梯度旋转下降法修复单侧完全性唇裂,手术设计时点X位于∠123的角平分线上,术中采用梯度旋转下降法和口轮匝肌的脱套式解剖,并同时行一期鼻畸形整复术.结果 2006年10月至2008年10月,于临床应用68例,术后所有患者切口均一期愈合.随访3～15个月,1年内随访的42例中有3例双侧唇高不对称,6例双侧唇宽不对称;1年后随访的26例双侧唇高均基本对称,有2例双侧唇宽不对称.结论 梯度旋转下降法是一种修复单侧完全性唇裂的好方法,该方法强调应将恢复组织移位作为整复治疗中最先考虑和实施的工作.
目的 探討梯度鏇轉下降法脩複單側完全性脣裂的臨床效果.方法 應用梯度鏇轉下降法脩複單側完全性脣裂,手術設計時點X位于∠123的角平分線上,術中採用梯度鏇轉下降法和口輪匝肌的脫套式解剖,併同時行一期鼻畸形整複術.結果 2006年10月至2008年10月,于臨床應用68例,術後所有患者切口均一期愈閤.隨訪3～15箇月,1年內隨訪的42例中有3例雙側脣高不對稱,6例雙側脣寬不對稱;1年後隨訪的26例雙側脣高均基本對稱,有2例雙側脣寬不對稱.結論 梯度鏇轉下降法是一種脩複單側完全性脣裂的好方法,該方法彊調應將恢複組織移位作為整複治療中最先攷慮和實施的工作.
목적 탐토제도선전하강법수복단측완전성진렬적림상효과.방법 응용제도선전하강법수복단측완전성진렬,수술설계시점X위우∠123적각평분선상,술중채용제도선전하강법화구륜잡기적탈투식해부,병동시행일기비기형정복술.결과 2006년10월지2008년10월,우림상응용68례,술후소유환자절구균일기유합.수방3～15개월,1년내수방적42례중유3례쌍측진고불대칭,6례쌍측진관불대칭;1년후수방적26례쌍측진고균기본대칭,유2례쌍측진관불대칭.결론 제도선전하강법시일충수복단측완전성진렬적호방법,해방법강조응장회복조직이위작위정복치료중최선고필화실시적공작.
Objective To explore the clinical effect of the method of rotation descent step by step for unilateral complete cleft lip with. Methods The method of rotation descent step by step was used to repair unilateral complete cleft lip. Point X was located on the angular bisector of ∠ 123, rotation descent step by step and orbicularis otis degloved dissection were used. Nasal deformities were corrected at the same stage. Results From Oct. 2006 to Oct. 2008, 68 cases were treated with primary healing. 42 cases were followed up for less than one year. Among them, 3 cases showed asymmetric lip height, and 6 cases showed asymmetric lip width. 26 cases were followed up more than one year with only two cases of asymmetric lip width. Conclusions The method of rotation descent step by step is very suitable for repairing unilateral complete cleft lip. The restoration of the malpositioned tissue is especially emphasized in this method.
