应用自体鼻中隔软骨与耳软骨整复鼻尖畸形的临床研究(1)
[摘要]目的：探討和分析自体鼻中隔软骨与耳软骨在鼻尖畸形整复中的临床应用价值。方法：选取2015年1月-2016年12月笔者医院收治的138例鼻尖畸形整复患者为研究对象，采用随机数字表法分为观察组70例和对照组68例。观察组采用自体鼻中隔软骨及耳软骨移植行鼻尖整形手术，对照组采用膨体填充物行鼻尖整形手术，并分别对两组鼻尖畸形患者的手术治疗效果、整形效果及并发症发生率进行比较。结果：观察组的手术时间明显短于对照组，观察组鼻尖矫正成功率明显高于对照组，差异均具有统计学意义(P<0.05)。观察组患者的鼻尖宽、鼻尖角、后旋角、表现点及鼻背高度满意度均高于对照组，但组间比较差异均不具有统计学意义(P>0.05)。观察组并发症总发生率为2.86%明显低于对照组的11.76%，差异有统计学意义(P<0.05)。结论：应用自体鼻中隔软骨与耳软骨移植行鼻尖整形，效果显著，手术操作简单易行，大大提高了患者的满意度。
[关键词]鼻尖畸形；鼻中隔软骨；耳软骨；整形修复
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0013-03
, 百拇医药
Clinical Study on Application of Autologous Septal Cartilage and Ear Cartilage to Repair Nasal Tip Deformity
GE Hai-hui
(Operating Room，Wuhan Zhonghan Plastic Surgery Hospital，Wuhan 430000，Hubei，China)
Abstract： Objective To investigate the clinical application value of autologous septal cartilage and ear cartilage to repair nasal tip deformity. Methods From January 2015 to December 2016， 138 nasal tip deformity patients were selected in the hospital as clinical research object. The patients were randomly divided into the observation group (n=70) and the control group (n=68) with random number table method. The patients in the observation group were treated with nasal tip plastic surgery with autologous septal cartilage and ear cartilage transplantation. The patients in the control group were treated with nasal tip plastic surgery with bulking filler. The surgical treatment effect， plastic effect and complication rate of two groups were compared and analyzed. Results The operative time of the observation group was significantly shorter than that of the control group， and the success rate of the nasal tip correction in the observation group was significantly higher than that in the control group， with statistically significant difference(P<0.05). The satisfaction of the nasal tip width， the tip angle， the posterior rotation angle， the expression point and the nasal back height of the patients in the observation group were all higher than those of the control group， but the differences were not statistically significant(P>0.05). The total incidence of complications in the observation group was 2.86%， which was significantly lower than that in the control group(11.76%，P<0.05). Conclusion Autogenous nasal septum cartilage and auricular cartilage transplantation for nasal tip plasty is effective， and the operation is simple and easy to operate， which greatly improves the patient's satisfaction.
Key words： nasal tip deformity； nasal septal cartilage； ear cartilage； plastic repair, 百拇医药(葛海辉)
[关键词]鼻尖畸形；鼻中隔软骨；耳软骨；整形修复
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0013-03
, 百拇医药
Clinical Study on Application of Autologous Septal Cartilage and Ear Cartilage to Repair Nasal Tip Deformity
GE Hai-hui
(Operating Room，Wuhan Zhonghan Plastic Surgery Hospital，Wuhan 430000，Hubei，China)
Abstract： Objective To investigate the clinical application value of autologous septal cartilage and ear cartilage to repair nasal tip deformity. Methods From January 2015 to December 2016， 138 nasal tip deformity patients were selected in the hospital as clinical research object. The patients were randomly divided into the observation group (n=70) and the control group (n=68) with random number table method. The patients in the observation group were treated with nasal tip plastic surgery with autologous septal cartilage and ear cartilage transplantation. The patients in the control group were treated with nasal tip plastic surgery with bulking filler. The surgical treatment effect， plastic effect and complication rate of two groups were compared and analyzed. Results The operative time of the observation group was significantly shorter than that of the control group， and the success rate of the nasal tip correction in the observation group was significantly higher than that in the control group， with statistically significant difference(P<0.05). The satisfaction of the nasal tip width， the tip angle， the posterior rotation angle， the expression point and the nasal back height of the patients in the observation group were all higher than those of the control group， but the differences were not statistically significant(P>0.05). The total incidence of complications in the observation group was 2.86%， which was significantly lower than that in the control group(11.76%，P<0.05). Conclusion Autogenous nasal septum cartilage and auricular cartilage transplantation for nasal tip plasty is effective， and the operation is simple and easy to operate， which greatly improves the patient's satisfaction.
Key words： nasal tip deformity； nasal septal cartilage； ear cartilage； plastic repair, 百拇医药(葛海辉)