CAJ | 학술논문

目的探讨不同程度上唇缺损畸形的手术治疗方法.方法 1998年1月至2012年4月,中南大学湘雅医院整形科诊治243例上唇缺损畸形患者,根据上唇缺损的亚单位、范围及程度,使用不同手术方法进行缺损修复,其中直线缝合法48例,交叉三角瓣法及(或)V-Y推进法69例,口轮匝肌瓣法5例,单侧红唇瓣法53例,双侧红唇瓣法42例,下唇瓣法22例,颞蒂前额皮瓣修复法1例,前臂皮瓣法1例,鼻唇沟皮瓣法2例.通过术后随访及满意度调查,分析比较不同手术方法及手术效果.结果治疗上唇缺损畸形患者243例,其中外伤缺损85例,唇裂继发唇畸形110例,肿瘤术后48例,术后随访3 ～18个月,效果满意.135例患者接受满意度调查,106例非常满意,26例满意,满意度97.8％.结论对上唇缺损的修复应根据患者的缺损程度及具体情况,采取不同的手术方案,方可获得满意的效果.
목적 탐토불동정도상진결손기형적수술치료방법.방법 1998년1월지2012년4월,중남대학상아의원정형과진치243례상진결손기형환자,근거상진결손적아단위、범위급정도,사용불동수술방법진행결손수복,기중직선봉합법48례,교차삼각판법급(혹)V-Y추진법69례,구륜잡기판법5례,단측홍진판법53례,쌍측홍진판법42례,하진판법22례,섭체전액피판수복법1례,전비피판법1례,비진구피판법2례.통과술후수방급만의도조사,분석비교불동수술방법급수술효과.결과 치료상진결손기형환자243례,기중외상결손85례,진렬계발진기형110례,종류술후48례,술후수방3 ～18개월,효과만의.135례환자접수만의도조사,106례비상만의,26례만의,만의도97.8％.결론 대상진결손적수복응근거환자적결손정도급구체정황,채취불동적수술방안,방가획득만의적효과.
Objective To summarize the clinical experience for the reconstruction of upper lip defects in different degrees.Methods Different treatment methods were selected to reconstruct the upper lip defects according to the subunit,size or location of defects on the upper lip.The therapeutic results were analyzed and compared.Results From Jan.1998 to Apr.2012,243 cases with upper lip defects were treated,including 85 cases of traumatic defects,110 cases of defects secondary to lip cleft and 48 cases of defects after tumor resection.48 cases were treated with direct closure,69 cases with cross-lip flaps,5 Cases with orbicularis oris muscle flaps,53 cases with unilateral labial flaps,42 cases with bilateral labial flaps,22 cases with lower lip flaps,and 1 case with forehead flap,1 case with forearm flap and 2 with nasolabial fold flaps.The patients were followed up for 3-18 months with satisfactory results.Conclusions Satisfactory results could be achieved for upper lip defects with appropriate treatment methods according to the defects degree and characters.