中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2012年
7期
594-596
,共3页
王璐%朱莹%陈旻静%董斌%刘林嶓
王璐%硃瑩%陳旻靜%董斌%劉林嶓
왕로%주형%진민정%동빈%류림파
鼻中隔%软骨%耳软骨%鼻成形术%假体植入%聚四氟乙烯
鼻中隔%軟骨%耳軟骨%鼻成形術%假體植入%聚四氟乙烯
비중격%연골%이연골%비성형술%가체식입%취사불을희
Nasal septum%Cartilage%Ear cartilage%Rhinoplasty%Prosthesis implantation%Polytetrafluoroethylene
目的 评价自体鼻中隔软骨联合膨体聚四氟乙烯移植与自体耳软骨移植在鼻尖整形中的临床效果.方法 对照观察自体鼻中隔软骨联合膨体聚四氟乙烯移植(A组:70例)与自体耳软骨移植(B组:48例)在鼻尖整形中的疗效、手术操作时间及术中术后并发症.以SPSS 12.0软件进行t检验或x2检验.结果A组手术操作平均((x)±s)时间短于B组,差异有统计学意义(t=13.258,P=0.000).A组鼻尖宽度在6~8 mm的67例(95.7%),B组46例(95.8%),差异无统计学意义(x2=0.001,P=0.996);2组患者鼻尖表现点、后旋角、鼻背与鼻小柱夹角、鼻尖高度差异均无统计学意义(x2值分别为0.001、0.069、0.149、0.073,P值均>0.05).结论 自体鼻中隔软骨联合膨体聚四氟乙烯与自体耳软骨移植术临床效果相近.
目的 評價自體鼻中隔軟骨聯閤膨體聚四氟乙烯移植與自體耳軟骨移植在鼻尖整形中的臨床效果.方法 對照觀察自體鼻中隔軟骨聯閤膨體聚四氟乙烯移植(A組:70例)與自體耳軟骨移植(B組:48例)在鼻尖整形中的療效、手術操作時間及術中術後併髮癥.以SPSS 12.0軟件進行t檢驗或x2檢驗.結果A組手術操作平均((x)±s)時間短于B組,差異有統計學意義(t=13.258,P=0.000).A組鼻尖寬度在6~8 mm的67例(95.7%),B組46例(95.8%),差異無統計學意義(x2=0.001,P=0.996);2組患者鼻尖錶現點、後鏇角、鼻揹與鼻小柱夾角、鼻尖高度差異均無統計學意義(x2值分彆為0.001、0.069、0.149、0.073,P值均>0.05).結論 自體鼻中隔軟骨聯閤膨體聚四氟乙烯與自體耳軟骨移植術臨床效果相近.
목적 평개자체비중격연골연합팽체취사불을희이식여자체이연골이식재비첨정형중적림상효과.방법 대조관찰자체비중격연골연합팽체취사불을희이식(A조:70례)여자체이연골이식(B조:48례)재비첨정형중적료효、수술조작시간급술중술후병발증.이SPSS 12.0연건진행t검험혹x2검험.결과A조수술조작평균((x)±s)시간단우B조,차이유통계학의의(t=13.258,P=0.000).A조비첨관도재6~8 mm적67례(95.7%),B조46례(95.8%),차이무통계학의의(x2=0.001,P=0.996);2조환자비첨표현점、후선각、비배여비소주협각、비첨고도차이균무통계학의의(x2치분별위0.001、0.069、0.149、0.073,P치균>0.05).결론 자체비중격연골연합팽체취사불을희여자체이연골이식술림상효과상근.
Objective To evaluate the clinical effects of reshaping the nasal tip with autologous nasal septum cartilage combined with expanded polytetrafluoroethylene (ePTFE) and autologous auricular cartilage grafts.Methods The nasal septal cartilage combined with ePTFE ( group A,70 cases ) and autologous auricular cartilage grafts( group B,48 cases) were used separately.The therapeutic effect and operation time were compared using the t-test or the x2-test by the SPSS 12.0 software.Results The mean operation time ((x) ±s) in group A was less than those in group B and the difference was significant (t =13.258,P =0.000).The width of nasal tip equal to ( 6 - 8 ) mm was found in 67 cases (95.7%) in group A,and 46 cases(95.8%) in group B.There was no statistically significant difference between group A and group B ( x2 =0.001,P =0.996 ).The correction result of the nasal tip projection,angle of ration,the included angle of nasal dorsum and nasal columella and the height of the nasal tip did not show statistically significant difference between group A and group B ( x2 value were 0.001,0.069,0.149,0.073,respectively,all P >0.05 ).Conclusion The autologous nasal septal cartilage combined with ePTFE and autologous auricular cartilage grafts showed similar clinical effect.