摘要
目的观测单侧唇裂术前及术后2周鼻唇结构特征和对称性的恢复及通过随访1年后观察患儿鼻唇形态的改善、发育等情况。与我科之前的研究测量形成系统性及整体性的研究,并为后续所进行的三维测量研究提供对比及理论参考,为以后的唇裂患儿修复提供一份详细的理论参考及临床指导。方法选取蚌埠医学院第一附属医院2015年12月—2017年12月于整形烧伤科治疗的35例患儿,采用直接测量法对术前及术后2周患儿的全鼻宽、唇峰口角距、鼻翼唇峰距、鼻小柱唇峰距、鼻底宽、鼻孔宽、鼻孔高、人中嵴长度、人中长度、鼻小柱高等11项唇鼻特征进行测量,并随访至1年观察患儿的鼻唇的发育情况。结果测量的11项指标经配对t检验的结果显示P<0.05,可见术前及术后2周的各指标之间差异具有统计学意义。通过随访观察到大部分患儿的鼻唇形态得到良好的改善、健患侧的对称性良好,双侧唇高近似相等,术区瘢痕不明显,唇弓及干湿唇的延续性及形态良好,无唇外翻,双侧鼻孔、鼻翼基底对称性改善明显,人中嵴形态存在患儿上唇运动时未观察到凹陷和扭曲。结论通过随访1年及结合我科之前的测量研究,单侧唇裂患儿在行修复术后短期内鼻唇形态、饱满度,唇弓的延续性、健患侧的对称性即得到明显的改善,可为唇裂患儿的修复及继发畸形修复时期的选择提供一定的参考。
Objective To observe the restoration of the nasolabial structure and symmetry of unilateral cleft lip before and 2 weeks after surgery, and to observe the improvement and development of the nasolabial morphology of the children after 1 year of follow-up. Compared with the previous research and measurement in our department, this study forms a systematic and integrated study, which provides a comparison and theoretical reference for the follow-up three-dimensional measurement research, and provides a detailed theoretical reference and clinical guidance for the repair of children with cleft lip. Methods A total of 35 children treated in our department from December 2015 to December 2017 were selected. The total width of the nose, the angular distance of the lip peak, the distance of the alar lip peak, the distance of the columella lip peak, the width of the nasal base, the width of the nostril, the height of the nostril, the length of the medial crest, the length of the medial column, and the height of the columella were measured by direct measurement method before and 2 weeks after surgery together with one-year follow-up to assess their nasolabial development. Results Paired t-test was performed on the 11 measurement items, and the results showed that P<0.05, indicating that there was statistical significance between the measurement items before and 2 weeks after surgery. Follow-up showed that most children with nasal labial form good improvement, the symmetry of the healthy side, double side lip high approximately equal to the area of scar is not obvious, the continuity of the lip bow and dry wet lips and form is good, no eclabium, bilateral nostrils, alar basal symmetry improve obviously, crest form of upper lip movement is not observed in children with depression and distortion. Conclusion After 1 year of follow-up and combined with the previous measurement studies in our department, the shape and fullness of the nasolabial, the continuity of the labial arch and the symmetry of the healthy and the affected sides of the unilateral cleft lip were significantly improved in the short term after repair. It can provide certain reference for the repair of children with cleft lip and the choice of the repair period of secondary deformity.
作者
叶广春
李光早
沈嬿
张莉
段志红
徐静
YE Guang-chun;LI Guang-zao;SHEN Yan(Department of Plastic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, Chin)
出处
《中华全科医学》
2019年第6期936-939,共4页
Chinese Journal of General Practice
基金
安徽省科技攻关项目(1704a0802162)
关键词
单侧唇裂
直接测量
鼻唇特征
Unilateral cleft lip
Direct measurement
Nasolabial characteristics
