CAJ | 학술논문

目的：探讨应用耳廓复合组织瓣修复鼻翼缺损方法的临床疗效。方法我科自2008年1月至2013年3月收治43例鼻缺损患者,其中23例患者选用耳廓复合组织瓣术式修复鼻翼缺损(耳廓复合组织瓣术组),20例患者选用鼻唇沟皮瓣转移术式修复鼻翼缺损(鼻唇沟皮瓣转移术组),术后随访6个月至1年,比较2组患者二次手术率、瘢痕增生率及皮瓣存活率情况。结果耳廓复合组织瓣术组在二次手术率、瘢痕增生率及皮瓣存活率等方面明显优于鼻唇沟皮瓣转移术组,P<0.05差异有统计学意义,而在形态满意度方面两者之间差异无统计学意义。结论应用耳廓复合组织瓣修复鼻翼缺损具有手术方法简单、疗效短、外形佳、效果好等优点。
목적：탐토응용이곽복합조직판수복비익결손방법적림상료효。방법아과자2008년1월지2013년3월수치43례비결손환자,기중23례환자선용이곽복합조직판술식수복비익결손(이곽복합조직판술조),20례환자선용비진구피판전이술식수복비익결손(비진구피판전이술조),술후수방6개월지1년,비교2조환자이차수술솔、반흔증생솔급피판존활솔정황。결과이곽복합조직판술조재이차수술솔、반흔증생솔급피판존활솔등방면명현우우비진구피판전이술조,P<0.05차이유통계학의의,이재형태만의도방면량자지간차이무통계학의의。결론응용이곽복합조직판수복비익결손구유수술방법간단、료효단、외형가、효과호등우점。
Objective To evaluate the clinical efficacy of the application of auricular composite tissue flap in treatment of nasal alar de-fect. Methods 43 cases of nasal defects patients were admitted to our hospital from January 2008 to March 2013, 23 cases of them were treated with auricular composite tissue flap transplantation, and the other 20 cases were given nasolabial sulcus flap transfer operation. All patients were followed-up for 6 to 12 months, and the rate of secondary surgery, proliferation of scar, and flap survival of the two groups were compared. Results Treatment of auricular composite tissue flap transplantation has more advantages in terms of the rate of secondary surgery, proliferation of scar, and flap survival, and the difference is of statistical significance (P<0. 05). And there is no obvious differ-ence in satisfaction degree of cosmetic outcomes. Conclusion Auricular composite tissue flap surgery has the advantages of simple opera-tion, good appearance and good efficacy.